Radha Nagar, Near Pragati School,
Panchavati Square, Amravati, 444603
Ph.: 2550505, 2577703, 9130005760
www.parijatchildrenhospital.com
HOSPITAL BILL
Bill No
:
19
Hospital Reg No : AMC/299
Bill Date
:
Name
:
Age / Gender
:
UHID. NO
:
IPD No
:
DOA
:
DOD
:
DETAILS
Sr.No
Primary Code
Particulars
Amount
Days
Tot.l Amount
DETAILS
Total Bill Amount:
Advance:
Balance Amount:
Payment Mode :
In Words : twenty six thousands Rupees
Payment Mode :
For Parijat Hospital
