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MR - Selvaraj - Final Bill

The document is a billing statement for Mr. Selvaraj, a 63-year-old patient, detailing medical expenses incurred during hospitalization from May 27 to May 31, 2025. The total bill amounts to ₹138,611, covering various charges including room rent, surgeon fees, and pharmacy expenses. The statement is signed by an authorized signatory.

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sankarortho2017
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5 views2 pages

MR - Selvaraj - Final Bill

The document is a billing statement for Mr. Selvaraj, a 63-year-old patient, detailing medical expenses incurred during hospitalization from May 27 to May 31, 2025. The total bill amounts to ₹138,611, covering various charges including room rent, surgeon fees, and pharmacy expenses. The statement is signed by an authorized signatory.

Uploaded by

sankarortho2017
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Patient Name: Mr.

Selvaraj Age: 63 Years/Female IP No:484/2025


Consultant Name: Dr. R. Sankar Ram M.S., Ortho, K.E.M (Mumbai)
D.O.A: 27.05.2025 D.O.D: 31.05.2025
S.No. BILL No. DATE DESCRIPTION AMOUNT
1 ROOM RENT 6000.00
2 MAINTENANCE 1200.00
3 SURGEON FEES 20000.00
4 ASSISTANT SURGEON FEES 10000.00
5 ANAESTHETIC FEES 7000.00
6 OT- CHARGES 15000.00
7 IMPLANT 18000.00
6196 31.05.2025
8 MONITOR 1000.00
9 DRESSING 500.00
10 PHYSIOTHERAPHY 2500.00
11 DR.SANKAR RAM VISIT 5250.00
12 OT- STAFF 2100.00
13 RMO & NURSING 2000.00
14 DR.MITHUN VISIT 500.00
15 300 27.05.2025 X-RAY, ECG 650.00
16 301 27.05.2025 LAB TEST 3150.00
17 302 27.05.2025 ECHO CHARGE 1500.00
18 309 29.05.2025 X-RAY CHARGE 500.00
19 _ 27.05.2025 VISHNUPRIYA SURGICALS 1050.00
20 25095738 28.05.2025 DDC LAB TEST 1200.00
21 13031 28.05.2025 DR.RATH - BIOPSY CHARGES 300.00
22 0289 28.05.2025 AUROBINDO PHARMACY 1990.00
23 CO1026142 28.05.2025 AUROBINDO PHARMACY 13420.00
24 CO1026163 29.05.2025 AUROBINDO PHARMACY 2182.50
25 CO1026169 29.05.2025 AUROBINDO PHARMACY 494.00
26 CO1026177 29.05.2025 AUROBINDO PHARMACY 3939.00
27 CO1026186 29.05.2025 AUROBINDO PHARMACY 22.00
28 CO1026193 30.05.2025 AUROBINDO PHARMACY 2143.50
29 CO104368 27.05.2025 ANNAI PHARMACY 841.00
30 CO164422 27.05.2025 ANNAI PHARMACY 402.00
31 CO164424 27.05.2025 ANNAI PHARMACY 574.00
32 CO164429 28.05.2025 ANNAI PHARMACY 141.00
33 CO164434 28.05.2025 ANNAI PHARMACY 333.00
34 CO164448 28.05.2025 ANNAI PHARMACY 209.00
35 CO164458 28.05.2025 ANNAI PHARMACY 119.00
36 CO164597 29.05.2025 ANNAI PHARMACY 1403.00
37 CO164603 29.05.2025 ANNAI PHARMACY 39.00
38 CO164864 30.05.2025 ANNAI PHARMACY 390.00
39 CO164946 31.05.2025 ANNAI PHARMACY 1366.00
40 CO164967 31.05.2025 ANNAI PHARMACY 210.00
41 CO165032 31.05.2025 ANNAI PHARMACY 8993.00
TOTAL 138611.00

(Rupees One Lakh Thirty Eighty Six Thousand Six Hundred and Eleven Only)

Authorized Signatory

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