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Medical Bill

This invoice from Venkateshwara Hospitals bills Suraj Sharma Rs. 9,000 for a routine health checkup by Dr. David Mani Nesan on November 21, 2015. The full amount is due immediately on the date of the invoice as there is no insurance reimbursement or adjustment listed.

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surajsharmag
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1K views1 page

Medical Bill

This invoice from Venkateshwara Hospitals bills Suraj Sharma Rs. 9,000 for a routine health checkup by Dr. David Mani Nesan on November 21, 2015. The full amount is due immediately on the date of the invoice as there is no insurance reimbursement or adjustment listed.

Uploaded by

surajsharmag
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Invoice Details: This page presents the invoice details from Venkateshwara Hospitals, listing physician services, fees, and balance information.

INVOICE

Venkateshwara Hospitals
36 - A, Chamiers Road
Nandanam, Chennai-600035
(91) - 44 - 4511 1111/4511 4511

Bill To:

Dt of Service
21-11-15

DATE: November 21, 2015


INVOICE #: VH-A-14-2111

Suraj Sharma
Manali, Chennai-600068

Suraj Sharma

Patient:

Physician

Terms

Due Date

[Link] Mani Nesan

Immediate

21-11-15

Description
Routine Health
Checkup

Total Fee

Co-Pay

Ins Reim

Adj

9,000.00

Balance (PR)
9,000.00

9,000.00
TOTAL

9,000.00

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