Bill 07oct2024 241008 192236
Bill 07oct2024 241008 192236
Discharge Date :
Page 1 of 9
Name : Mr. ABHISHEK S IP No : IP No : AHBIP224723 Bill No : AHB-ICS-85755
Other Information :
Bill of Supply : AHB-ICS-85755 94,948.00
Tax Invoice : AHB-TCS-5155 16,800.00
Total Payable Amount 111,748.00
Disclaimer : *All the above dates indicated as Date & Time of the entry only Page 2 of 9
Name : Mr. ABHISHEK S IP No : IP No : AHBIP224723 Bill No : AHB-ICS-85755
SI.No Service Service Name Start Date End Date Dr Name Qty Amount(INR)
Code ( Order No. )
Admission(999311 ) 1,800.00
Admission 1,800.00
1 3032197 Admission Charges 1.00 1,800.00
Consultation(999311 ) 7,500.00
Consultation 7,500.00
1 2117 IP Visit Charges Dr. Sunil N Dutt Dr 1.00 1,500.00
Sumit K Gaur (ENT
)
2 2117 IP Visit Charges Dr. Jyoti 1.00 1,500.00
Radhakrishnan(AN
AESTHESIOLOGY )
3 2117 IP Visit Charges Dr. Sunil N Dutt Dr 1.00 1,500.00
Sumit K Gaur (ENT
)
4 2117 IP Visit Charges Dr. Sunil N Dutt Dr 1.00 1,500.00
Sumit K Gaur (ENT
)
5 2117 IP Visit Charges Dr. Jyoti 1.00 1,500.00
Radhakrishnan(AN
AESTHESIOLOGY )
CSSD(999311 ) 2,100.00
CSSD 2,100.00
1 2102 COMMON CONSUMABLES 1.00 1,050.00
Equipment(999311 ) 3,000.00
07-Oct-2024
Operation Theatre 3,000.00
1 1023496 MULTIPARAMETER MONITOR 07-Oct-2024 07-Oct-2024 Dr. Sunil N Dutt Dr 1.00 1,790.00
(275865 ) 11:45.00 13:00.00 Sumit K Gaur
2 1023506 USE OF GAS (O2 AND NO2) 07-Oct-2024 07-Oct-2024 Dr. Sunil N Dutt Dr 1.00 1,210.00
(275865 ) 11:45.00 13:00.00 Sumit K Gaur
Investigations(999311 ) 14,180.00
Haematology 2,810.00
1 5 ACTIVATED PARTIAL THROMBOPLASTIN 1.00 1,470.00
TIME
(4559794 )
2 80 PROTHROMBIN TIME 1.00 1,340.00
(4559794 )
Histopathology 3,350.00
3 1109489 HISTOPATHOLOGY TEST (SMALL) - 1 1.00 3,350.00
SAMPLE
(4561293 )
Microbiology 8,020.00
4 8349 CULTURE AND SENSITIVITY [PUS] 1.00 1,560.00
(4561020 )
5 1041734 HBsAg(CMIA) 1.00 1,760.00
(4559794 )
Disclaimer : *All the above dates indicated as Date & Time of the entry only Page 3 of 9
Name : Mr. ABHISHEK S IP No : IP No : AHBIP224723 Bill No : AHB-ICS-85755
6 1041735 HCV(CMIA) 1.00 2,520.00
(4559794 )
7 1041736 HIV 1 and 2 ( CMIA) 1.00 2,180.00
(4559794 )
IP Pharmacy(999311 ) 8,739.67
8,739.67
1 47945 ACCU-CHEK SAFE-T-PRO UNO ## ( 2.00 30.00
HSN:90183990 )
(PMIS0812150430 )
2 47945 ACCU-CHEK SAFE-T-PRO UNO ## ( 2.00 30.00
HSN:90183990 )
(PMIS0812150289 )
3 76742 BETT 5ML INJ ( HSN:30022013 ) 1.00 13.09
(PMIS0812149723 )
4 10110 CEFOR 1G INJ ( HSN:30042019 ) 1.00 583.00
(PMIS0812149723 )
5 10110 CEFOR 1G INJ ( HSN:30042019 ) 1.00 583.00
(PMIS0812150512 )
6 78600 DC BOUFFANT CAP ( HSN:62103090 ) 2.00 15.00
(PMIS0812150289 )
7 78600 DC BOUFFANT CAP ( HSN:62103090 ) 1.00 7.50
(PMIS0812152416 )
8 67709 DC CUTARUB-CHG 500ML WITH PUMP ( 1.00 450.00
HSN:30041030 )
(PMIS0812149717 )
9 32357 DISPERZYME TAB 10'S ( HSN:30049084 ) 3.00 179.40
(PMIS0812152651 )
10 62243 ECOFLAC PLUS NS 0.9% 100ML (B 5.00 235.50
BRAUN) ( HSN:90183990 )
(PMIS0812150430 )
11 32922 EMESET 4MG2ML INJ ( HSN:30049035 ) 1.00 13.35
(PMIS0812152651 )
12 32922 EMESET 4MG2ML INJ ( HSN:30049035 ) 1.00 13.35
(PMIS0812150512 )
13 93852 ENLIVA P/F NITRILE EXAMINATION 10.00 200.00
GLOVES-M 100S (WADI) ( HSN:30049091 )
(PMIS0812149717 )
14 32893 ENZOFLAM TAB 10'S ( HSN:30049069 ) 2.00 33.40
(PMIS0812152651 )
15 80103 INTRAFIX SAFESET B.C.V. 180CM 3.00 1,224.00
(B.BRAUN) ( HSN:90183990 )
(PMIS0812150430 )
16 66328 LINOPLUS 300ML IV INJ ( HSN:30049099 ) 1.00 916.64
(PMIS0812152651 )
17 64102 PANSEC IV 40MG ( HSN:30049039 ) 1.00 56.50
(PMIS0812152651 )
18 64102 PANSEC IV 40MG ( HSN:30049039 ) 1.00 56.50
(PMIS0812150512 )
19 53829 POSIFLUSH SP - 10ML SYRENGES ( 3.00 201.00
HSN:90183220 )
(PMIS0812150289 )
Disclaimer : *All the above dates indicated as Date & Time of the entry only Page 4 of 9
Name : Mr. ABHISHEK S IP No : IP No : AHBIP224723 Bill No : AHB-ICS-85755
20 89935 SIRAFORTE TAB ( HSN:21069099 ) 2.00 59.00
(PMIS0812152651 )
21 57863 SYRINGE 10ML W.N NIPRO ( 5.00 137.50
HSN:90183990 )
(PMIS0812150430 )
22 40467 SYRINGES 10ML DISPOVAN ( 3.00 39.00
HSN:90183100 )
(PMIS0812150289 )
23 45246 SYRINGES 3ML DISPOVAN# ( 3.00 28.50
HSN:90183100 )
(PMIS0812150289 )
24 45246 SYRINGES 3ML DISPOVAN# ( 5.00 47.50
HSN:90183100 )
(PMIS0812150430 )
25 60628 TEGADERM 1633 (7X8.5CM) FOR CANNULA 1.00 214.00
# ( HSN:30051020 )
(PMIS0812149717 )
26 60628 TEGADERM 1633 (7X8.5CM) FOR CANNULA 1.00 214.00
# ( HSN:30051020 )
(PMIS0812150430 )
27 60628 TEGADERM 1633 (7X8.5CM) FOR CANNULA 1.00 214.00
# ( HSN:30051020 )
(PMIS0812149851 )
28 12148 VENFLON PRO SAFETY 20G ( 2.00 970.00
HSN:90183930 )
(PMIS0812150430 )
29 12148 VENFLON PRO SAFETY 20G ( 1.00 485.00
HSN:90183930 )
(PMIS0812149851 )
30 12148 VENFLON PRO SAFETY 20G ( 2.00 970.00
HSN:90183930 )
(PMIS0812149717 )
31 24816 VENFLON PRO SAFETY 22G ( 1.00 485.00
HSN:90183930 )
(PMIS0812150430 )
32 46526 XYLOCAINE 2% IM 30ML INJ ( 1.00 34.94
HSN:30039034 )
(PMIS0812149723 )
Medical Administration(999311 ) 690.00
Medical Records 690.00
1 2114 Medical Records 1.00 690.00
Disclaimer : *All the above dates indicated as Date & Time of the entry only Page 5 of 9
Name : Mr. ABHISHEK S IP No : IP No : AHBIP224723 Bill No : AHB-ICS-85755
Nursing 5,000.00
1 2126 Nursing Charges(PRIVATE ) 2.00 5,000.00
OT Charges(999311 ) 18,000.00
07-Oct-2024
General Surgery 18,000.00
1 2103 THEATRE CHARGES 07-Oct-2024 07-Oct-2024 1.00 18,000.00
22:34.48 22:34.48
OT Consumables(999311 ) 9,253.75
Operation Theatre 9,253.75
1 1078500 1538 1 DURAPORE 1 INCH MAKE 3M INDIA 0.25 180.00
0000260 LIMITED
0953 (PMIS08616684 )
2 1082100 AUTOFUSION IV SET (DEHP FREE IV SET 1.00 393.00
0000254 WITH AUTO AIR STOP AND PURG FILTER
9950 CAP) REF:14261 MAKE POLYMEDICURE
(PMIS08616684 )
3 1086200 DC-CSSD DRESSING GAUZE OT- 2.00 86.00
0000257 (7.5CMX7.5CM-16PLY)PKT OF 5 PICES
832 (PMIS08616701 )
4 1086200 DC-CSSD DRESSING GAUZE 2.00 116.00
0000257 X-RAY-OT(7.5CMX7.5CM-16PLY)PKT OF 5
833 PICES
(PMIS08616701 )
5 1086200 DC-CSSD LAP 1.00 363.00
0000257 SPONGE(MOPS)X-RAY-30CMX30CM-PKT OF
835 5 PICES
(PMIS08616701 )
6 1086200 DISPOSABLE ECG ELECTRODES CAT NO 5.00 180.00
0000259 MSGLT 08 MAKE DOCTOR CHOICE
8413 (PMIS08616684 )
7 1082100 DOCTOR'S CHOICE FACE MASK 10.00 160.00
0000246 3PLY-TIE-ON - BLUE
3039 (PMIS08616701 )
8 1015800 ELECTROSURGICAL PENCIL WITH TIP 1.00 750.00
0000267 CLEANER CAT NO PS 516 MAKE NIKO
0098 (PMIS08616721 )
9 1078400 E.T TUBE CUFFED SIZE 8 MAKE HELMIER 1.00 390.00
0000267 INDIA PVT LTD
5206 (PMIS08616684 )
10 1082100 GE -73319-HEL GAS SAMPLING LINE 1.00 250.75
0000302 3M/10FEET
549 (PMIS08616684 )
11 1082100 LAPAROSUCK-C KIT MODEL NO 2111 MAKE 1.00 457.00
0000246 MORRISONS LIFECARE
6784 (PMIS08616721 )
12 1082100 LIMBO CIRCUIT 2.7M WITH HME FILTER AND 1.00 1,100.00
0000260 CATHETER MOUNT AFPXXXXX-GE
5272 (PMIS08616684 )
Disclaimer : *All the above dates indicated as Date & Time of the entry only Page 6 of 9
Name : Mr. ABHISHEK S IP No : IP No : AHBIP224723 Bill No : AHB-ICS-85755
13 1082100 MEDISPHERE-APOLLO CSSD NEW 1.00 1,000.00
0000362 GENERAL PACK KIT
649 (PMIS08616683 )
14 1082100 MEDISPHERE -SURGEON GOWN 2.00 700.00
0000307 STANDARD XL
309 (PMIS08616721 )
15 1011700 MONOCRYL ABS SUR SUT SYN BOX OF 12 1.00 943.00
0000262 FOILS SIZE 4 0 CAT. NO. NW1205 MAKE
0279 JOHNSON AND JOHNSON.
(PMIS08616721 )
16 1570200 NITRILE POWDER FREE EXAMINATION 10.00 200.00
0000271 GLOVES SIZE:MEDIUM BRAND:ENLIVA
0730 (PMIS08616721 )
17 1570200 NITRILE POWDER FREE EXAMINATION 20.00 400.00
0000271 GLOVES SIZE:MEDIUM BRAND:ENLIVA
0730 (PMIS08616684 )
18 1082100 POLYMED:YANKUR SUCTION SET 1.00 535.00
0000254 STANDARD TIP
1287 (PMIS08616684 )
19 1086200 POWDER FREE STERILE GLOVES 6.5 2.00 250.00
0000157 MICROPTIC JK-ANSELL
739 (PMIS08616683 )
20 1086200 POWDER FREE STERILE GLOVES 7.0 2.00 250.00
0000157 MICROPTIC JK-ANSELL
741 (PMIS08616683 )
21 1086200 STERI STRIP 1546 1.00 190.00
0000134 (PMIS08616683 )
322
22 1086200 STERI STRIP 1546 1.00 190.00
0000134 (PMIS08616721 )
322
23 1082100 SURGI DRAPE-LARGE SIZE 2.00 170.00
0000246 150CMSX150CMS
5462 (PMIS08616683 )
OT Pharmacy(999311 ) 2,480.97
07-Oct-2024
2,480.97
1 29542 ARTACIL 25MG/2.5ML INJ(HSN:30049099 ) 07-Oct-2024 2.00 95.02
(PMIN0812204951 ) 13:49.47
2 49154 EFIPRES 30MG/1ML INJ(HSN:30044070 ) 07-Oct-2024 1.00 40.70
(PMIN0812204951 ) 13:49.47
3 34015 FRESOFOL 1% 20ML INJ(HSN:30039034 ) 07-Oct-2024 1.00 145.60
(PMIN0812204951 ) 13:49.47
4 59128 GUDEL AIRWAYS 3 [ROMSONS] 07-Oct-2024 1.00 151.00
(PMIN0812205275 ) 13:57.08
5 35306 HYDROGEN 07-Oct-2024 1.00 35.00
PAROXIDE-100ML(HSN:28470000 ) 13:50.19
(PMIN0812205194 )
6 70775 KABILYTE 500ML FREEFLEX 07-Oct-2024 1.00 343.00
POUCH(HSN:30049099 ) 13:49.47
(PMIN0812204951 )
7 70828 KABIMOL 1 % 100ML 07-Oct-2024 1.00 725.00
POUCH(HSN:30049061 ) 13:49.47
(PMIN0812204951 )
Disclaimer : *All the above dates indicated as Date & Time of the entry only Page 7 of 9
Name : Mr. ABHISHEK S IP No : IP No : AHBIP224723 Bill No : AHB-ICS-85755
8 33940 LOX 2% ADRENALINE 30ML 07-Oct-2024 1.00 35.27
INJ(HSN:30039034 ) 13:50.19
(PMIN0812205194 )
9 36107 MEZOLAM 5ML INJ(HSN:30039034 ) 07-Oct-2024 1.00 33.10
(PMIN0812204951 ) 13:49.47
10 36375 MYO-PYROLATE IV INJ(HSN:30049099 ) 07-Oct-2024 1.00 123.70
(PMIN0812204951 ) 13:49.47
11 89540 NICODIN 10%W/V TOPICAL SOLU 100ML 07-Oct-2024 1.00 107.52
(PMIN0812205194 ) 13:50.19
12 59076 N.S 500ML POUCH (FRESENIUS) 07-Oct-2024 1.00 98.47
(PMIN0812204951 ) 13:49.47
13 59076 N.S 500ML POUCH (FRESENIUS) 07-Oct-2024 1.00 98.47
(PMIN0812205194 ) 13:50.19
14 41046 PYROLATE 1 ML(HSN:30049034 ) 07-Oct-2024 1.00 16.12
(PMIN0812204951 ) 13:49.47
15 63255 SUCTION CATHETER 14 07-Oct-2024 1.00 89.00
(PMIN0812205275 ) 13:57.08
16 65954 SURGICAL BLADE NO 15(HSN:90189022 ) 07-Oct-2024 1.00 6.00
(PMIN0812205194 ) 13:50.19
17 57863 SYRINGE 10ML W.N NIPRO 07-Oct-2024 3.00 82.50
(PMIN0812204951 ) 13:49.47
18 57863 SYRINGE 10ML W.N NIPRO 07-Oct-2024 1.00 27.50
(PMIN0812205194 ) 13:50.19
19 20604 SYRINGE 20ML (NIPRO) W/O/N 07-Oct-2024 2.00 111.00
(PMIN0812204951 ) 13:49.47
20 68116 SYRINGE 2 ML W/N. (NIPRO)(HSN:90183990 07-Oct-2024 3.00 33.00
) 13:49.47
(PMIN0812204951 )
21 58800 SYRINGE 5 ML W/N. (NIPRO) 07-Oct-2024 3.00 63.00
(HSN:90183990 ) 13:49.47
(PMIN0812204951 )
22 58800 SYRINGE 5 ML W/N. (NIPRO) 07-Oct-2024 1.00 21.00
(HSN:90183990 ) 13:50.19
(PMIN0812205194 )
Pharmacy Items(999311 ) 2,000.00
Pharmacy 2,000.00
1 83976 SEVOFLURANE (Per ML) 40.00 2,000.00
(5862966 )
Professional Charges(999311 ) 24,000.00
Anaesthesiology 4,500.00
1 2122 Anaesthesiologist Fees 1.00 4,500.00
Disclaimer : *All the above dates indicated as Date & Time of the entry only Page 8 of 9
Name : Mr. ABHISHEK S IP No : IP No : AHBIP224723 Bill No : AHB-ICS-85755
1 97306 PAT 1 MALE 1.00 4,230.00
( LAB-4559795,RAD-3770355 )
Ward Consumables(999311 ) 93.90
Operation Theatre 93.90
1 2774700 VERFEN AMPOULES 50MCG/ML 2ML 2.00 93.90
0000247 (FENTANYL)
3160 (PMIS08616773 )
(ß) indicates bedside service
(§) indicates stat service Grand Total 105,448.29
(E) indicates dead patient
Rupees One Lakhs Five Thousand Four Hundred Forty-Eight Only
Bed Details
SI.No From Date To Date Duration Bed No Bed Category
1 06-Oct-2024 6:51 pm 07-Oct-2024 10:34 pm 1Days 3Hrs 42Mins 5062 PRIVATE
Profile Breakup
Disclaimer : *All the above dates indicated as Date & Time of the entry only Page 9 of 9
Name : Mr. ABHISHEK S Bill No : IP No : AHBIP224723 Bill No : AHB-TCS-5155
Pan Number :
*AHBIP224723*
Doctor Name : Dr. Sunil N Dutt Dr Sumit K Gaur
Bill No : AHB-TCS-5155
Speciality : ENT
Date : 7-Oct-2024 Time : 22:34:47
Ward Name : PRIVATE 5TH FLR
Bed No : 5062(PRIVATE )
*AHB-TCS-5155*
Billing Type : CASH Authorization No Admission Date 06-Oct-2024 18:51:48 pm
IRN NO
Disclaimer : *All the above dates indicated as Date & Time of the entry only Page 1 of 2
Name : Mr. ABHISHEK S Bill No : IP No : AHBIP224723 Bill No : AHB-TCS-5155
SL. Service Service Name Alias Dr Name Start End Qty/Duration Reference Amount
Dis%
No Code ( Order No. ) Code Date Date ( in days ) Tariff
Room Rent(999311 )
1 ) ROOM RENT(PRIVATE )
10/06/2024 10/07/2024 2 8,000.00 0 16,000.00
Disclaimer : *All the above dates indicated as Date & Time of the entry only Page 2 of 2