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Patient Name
Mobile
UHID SHRI.
Address
IPNo
Bill No
Bed No.
Age/Sex
Admission Date
Admission Time
Bill Date Auto
Bill Time +30
Discharge
Amount Rs
IPNo: 177214
UHID: SHRI.153704
Patient Name: Mr. LAISHANGBAM ANGOUBAMBA SINGH
Admission Date & Time: 03/09/2026 11:17 am
Age/Sex: 70 Year(s) / Male
Bill No.: SHIC182733
Bed no.: D-2208 (Dialysis)
Bill Date: 03/09/2026
Doctor Name: Guliver Potsangbam
Discharge Date & Time: 03/09/2026 02:47 pm
PAN No./GSTIN: AF / 14AAICS6068B2ZG
Doctor Speciality: Nephrology
Mobile No: 7005208464
Patient Type: Credit
Patient Address: MOIRANG LAISHANGBAM LEIKAI Bishnupur 795133 Manipur
Payer: PMJAY
| SI No. | Item Name | Batch No./Expiry | HSN/Code | Date | Qty | Rate | GST% | Patient Amt | Company Amt | Amount Rs |
|---|---|---|---|---|---|---|---|---|---|---|
| NEPHROLOGY PROCEDURE | ||||||||||
| 1 | Haemodialysis Subsequent Visit PMJAY |
11/10 | 1.00 | 2660.00 | 0.00 | 2660.00 | 2660.00 | |||
| Sub Total : | 0.00 | 2660.00 | 2660.00 | |||||||
| Grand Total : | 0.00 | 2660.00 | 2660.00 | |||||||
| Gross Bill Amount : | Rs 2660.00 | |||||||||