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    Bill 2

    Uploaded by

    Akifa Zafar
    This document is a tax invoice and inpatient summary bill from UPI Scan & Pay. It provides details of medical treatment for a 7 month old male patient named Master Mohd Abrahim Mir, including the admission and discharge dates, treating doctor, total bill amount of ₹2,25,625, and taxes. The net payable amount is ₹0 after accounting for a deposit by the Rotary Club.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Bill 2

    Uploaded by

    Akifa Zafar
    35 views1 page
    This document is a tax invoice and inpatient summary bill from UPI Scan & Pay. It provides details of medical treatment for a 7 month old male patient named Master Mohd Abrahim Mir, including the admission and discharge dates, treating doctor, total bill amount of ₹2,25,625, and taxes. The net payable amount is ₹0 after accounting for a deposit by the Rotary Club.

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    bill 2

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    This document is a tax invoice and inpatient summary bill from UPI Scan & Pay. It provides details of medical treatment for a 7 month old male patient named Master Mohd Abrahim Mir, including the admission and discharge dates, treating doctor, total bill amount of ₹2,25,625, and taxes. The net payable amount is ₹0 after accounting for a deposit by the Rotary Club.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    35 views1 page

    Bill 2

    Uploaded by

    Akifa Zafar
    This document is a tax invoice and inpatient summary bill from UPI Scan & Pay. It provides details of medical treatment for a 7 month old male patient named Master Mohd Abrahim Mir, including the admission and discharge dates, treating doctor, total bill amount of ₹2,25,625, and taxes. The net payable amount is ₹0 after accounting for a deposit by the Rotary Club.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    UPI Scan & Pay

    TAX INVOICE

    INPATIENT SUMMARY BILL

    GST No. : 07AAACE8731F1Z5

    CIN No. : U85110CH2000PLC02374

    IRN :

    IRN QR Code
    Pateint Name : Master Mohd Abrahim Mir Bill No : 120122IPCR021459
    UHID : 1214662 Bill Date : 07-Dec-2022 1:42 PM

    EpisodeNo : 201734/22/1201 Admiited on : 29-Nov-2022 7:35 AM

    Age/Sex : 7 MONTH(S)/Male Discharged on : 07-Dec-2022 2:53 PM


    Phone No. : 8803108988 Department : CARDIO THORACIC VASCULAR SURGERY

    Address : OKEY KULGAM khulgam Treating Doctor : Dr Krishna Subramony Iyer

    Claim No. Place of Supply


    ......................................................................................................................................................................................................................................................................
    Customer Details Insurance/Corp : NA

    Customer Category : Domestic Other Customer Site : NOTA04264Z-CHANDIGARH

    Customer Name : ROTARY CLUB

    Customer Address : SECTOR TPA Name:


    18A,Kulgam Chowalgam,,
    Kulgam Chowalgam 160018,
    Kulgam Chowalgam,India
    GSTIN : NOTA05660Z
    ......................................................................................................................................................................................................................................................................
    S. No Particulars HSN/SAC Gross Amount Discount Net Final Amount

    1 OTHER PROCEDURE 9993111 2000.00 0.00 2000.00

    BILL AMOUNT 225625.00 0.00 225625.00


    CGST : 812.50

    SGST : 812.50

    NET BILL AMOUNT : 225625.00

    ROTARY CLUB 225625.00

    PATIENT SHARE : 0.00

    DEPOSIT BY PATIENT ; 0.00

    REFUND AMOUNT 0.00

    NET PAYABLE AMOUNT : 0.00

    INDIVIDUAL CREDIT

    Closed By : Anil Kumar Discharge By : Sonia


    Patient/Attendant’s Sign :

    Name
    : : SHOWKAT AHAMAD SOFI
    : Relation Phone No : 8803108988
    (Note : All original payment receipts required for Final Bill Clearance.

    Print Date : 07-Dec-2022 2:54 PM

    Page 1 of 1

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