R0706XK001275

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Agilus Pathlabs Reach Ltd - SH DHANBAD

Sadar Hospital
Kasturba Nagar,
Dhanbad - 826001, India
Ph: 0326-2310050,7260813492
GST No. 20AAVCS7313L1Z0

Customer Copy

Receipt No : ICR706240092003 Accession No :0706XK001275 Date : 07-11-2024 Receipt Date : 07-11-2024

Received with thanks from : SUDHANSHU RANJAN Gender : MALE Age : 22

Prescribed by : SELF Email : , Mobile No. : 7903325804

Test Code Test Description Amount

5111 CBC WITH ESR (CBC+PS+ESR) EDTA WHOLE BLOOD/SMEAR 155.00

1395 MALARIA ANTIGEN DETECTION, WHOLE BLOOD 51.00

1397 MALARIAL PARASITE (M.P), EDTA WHOLE BLOOD/SMEAR 47.00

9076 WIDAL TEST, SERUM 30.00


Discount Amount(-) : 0.00
Other Charges : 0.00

Total : 283.00
Balance : 0.00 Advance : 283.00
Rupees Two Hundred Eighty Three Only.
By CASH
For Agilus Pathlabs Reach Ltd - SH DHANBAD
Report Delivery Charges: _________________ Final Report Expected on : 10-Nov-2024 07:30:00 AM

Your User ID is SUDHM200602706.


Log on to www.agilusdiagnostics.com to view your reports online.

Download Agilus Diagnostics app on your mobile device by using QR Code. Authorized Signatory
CALL our Customer Care on 91115 91115

CONDITIONS OF LABORATORY TESTING & REPORTING


1. Patient identity and demographic details are crucial for a 4. AGILUS Diagnostics is committed to deliver reports on
correct report. Kindly check your Name / Age / Mobile time. However, in unforeseen circumstances such as
number & Email ID on the test requisition form and receipt. non-availability of kits / equipment breakdown / natural
calamities / technical downtime or any other unforeseen
2. In case of collected specimen(s) referred to AGILUS / event report may be delayed. We aims to keep this to
collected by patient, it is presumed that the sample belongs minimal.
to the patient named or identified in the test requisition
form. The referring Lab /collection authority is responsible 5. Kindly share all clinical details along with the specimen for
for appropriate sample collection as per pre-requisites, its accurate diagnosis. AGILUS Diagnostics may request for
labelling and transport. additional information for clinical co-relation as & when
required
3. A fresh sample may be requested if the Quality or
Quantity of received sample is unsatisfactory 6. Tests once registered cannot be CANCELLED!
AGILUS DIAGNOSTICS LTD
Fortis Hospital, Sector 62, Phase VIII,
Mohali 160062

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