JK NEOLIFE HOSPITAL & REHABILITATION CENTER
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Kabr, Austin Town, Koramangala, Bangalore
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[email protected] | 9685002950
30 May 2025
PHYSIOTHERAPIST PAYMENT STATEMENT
Physiotherapist 01 Name: Dr. Aditya Period: 04/02/2025 - 14/04/2025
Patient Sessions Rate (₹) Gross (₹) Deductions (₹) Net (₹) PhysioShare
Maqubul 34 750 25500 5950 19550 10752
Gul Ashfaque 9 1000 9000 3330 5670 3118
Aneesa 16 650 10400 3120 7280 4004
Jayalakshmi 14 800→750 11000 3600 7400 4070
Sharada 2 750 1500 - 1500 825
Yashpal 13 900 11700 - 11700 6435
Pranav 1 1250 1250 - 1250 687
TOTAL 89 70350 16000 54350 29892
Date Reference No. Amount (₹) Mode Status
27/02/2025 TXN-2025-001 4500 UPI Paid
13/04/2025 TXN-2025-002 4812 UPI Paid
22/04/2025 TXN-2025-003 10000 UPI Paid
28/05/2025 TXN-2025-004 10000 UPI Paid
Total 29312
Total Payable : ₹29,892
Amount Paid: ₹29,312
Outstanding Balance: ₹580
AUTHORIZATION
This serves as official confirmation of services rendered and payments due.
Authorized Signatory
_________________________
JK Neolife Hospital Management
Hospital Stamp Here
M. ADIL KHAN
M.P.T Neuro, MIAP
JK NeoLife Hospital &
Rehabilitation Center.