Patient Name: Mr.
Kannan Age: 28 Years/ Male IP No: 409/ 2025
Consultant Name: Dr. R. Sankar Ram M.S., Ortho, K.E.M (Mumbai)
D.O.A: 04.05.2025 D.O.D: 08.05.2025
S.No. BILL No. DATE DESCRIPTION AMOUNT
1 ROOM RENT 6000.00
2 MAINTENANCE 1150.00
3 SURGEON FEES 30000.00
4 ASST. SURGEON FEES 15000.00
5 ANAESTHETIC FEES 8000.00
6 OT CHARGE 10000.00
7 IMPLANT 16800.00
8 MONITOR 1000.00
6115 08.05.2025
9 DRESSING 1000.00
10 PHYSIOTHERAPY 2500.00
11 DR.SANKARRAM VISITS 4500.00
12 DR.MITHUN VISITS 2000.00
13 RMO & NURSING CHARGE 2000.00
14 OT STAFF 2100.00
15 DR.RAVINDRAN VISITS 500.00
16 DR.VISWANTHAN VISITS 750.00
17 23783 CHEST X-RAY 400.00
18 23784 X-RAY 500.00
19 23785 04.05.2025 BLOOD INVESTIGATION CHARGE 3150.00
20 23786 ECG CHARGE 250.00
21 23787 COSULTATION FEES 250.00
22 23788 06.05.2025 BLOOD TEST 400.00
23 23789 07.05.2025 X-RAY 500.00
24 23009301 05.05.2025 MRI KNEE (RIGHT) 3090.00
25 CB13052025080 13.05.2025 DRESSING 300.00
26 CO161388 ANNAI PHARMACY 1620.00
27 CO161387 ANNAI PHARMACY 1284.00
04.05.2025
28 CO161383 ANNAI PHARMACY 415.00
29 CO161407 ANNAI PHARMACY 1159.00
30 CO161568 ANNAI PHARMACY 1130.00
31 CO161413 ANNAI PHARMACY 143.00
32 CO161415 05.05.2025 ANNAI PHARMACY 1139.00
33 CO161453 ANNAI PHARMACY 625.00
34 CO161575 ANNAI PHARMACY 79.00
35 CO161573 ANNAI PHARMACY 574.00
06.05.2025
36 CO161703 ANNAI PHARMACY 3160.00
37 CO161839 07.05.2025 ANNAI PHARMACY 470.00
38 CO161921 08.05.2025 ANNAI PHARMACY 782.00
39 CO162549 ANNAI PHARMACY 1374.00
13.05.2025
40 CO162543 ANNAI PHARMACY 300.00
41 CO1025645 05.05.2025 AUROBINDO PHARMACY 219.00
42 0248 06.05.2025 AUROBINDO PHARMACY 2140.00
43 CO1025654 06.05.2025 AUROBINDO PHARMACY 8368.00
44 CO1025672 06.05.2025 AUROBINDO PHARMACY 1177.00
45 CO1025664 06.05.2025 AUROBINDO PHARMACY 1154.00
46 CO1025729 07.05.2025 AUROBINDO PHARMACY 3332.00
47 CO1025722 07.05.2025 AUROBINDO PHARMACY 574.00
48 CO1025750 08.05.2025 AUROBINDO PHARMACY 172.00
49 CO1025740 08.05.2025 AUROBINDO PHARMACY 194.00
TOTAL 143724.00
(Rupees One Lakh Fourty Three Thousand Seven Hundred and Twenty Four Only)
Authorized Signatory