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Bills (1).pdf
1. SUMAN PHARMA AND OPTICALS - SPC UNIT
256/14 KANAKAPURA MAIN ROAD 7TH BLOCK, JAYANAGAR BANGALORE 560082
Ph No: 26088000 Fax No :26633770 Web Site www.nethradhama.org
PHARMA DIVISION
Print Date 02/07/2022 10:02:28 AM
DLNo KA-831-225995/225996/225997
OP No 1OP1198503 Tax Invoice
GSTIN 29AERFS1988N1ZR
Patient Name Mrs.M. ASHA JYOTHI Bill No
Bill Date
Referred By
PSPU3379
02/07/2022
Dr SRI GANESH
No
Description Qty Manufacture Batch#
1 PRED FORTE Eye Drops (I)
2 ALLER
(Prednisolone acetate 1%) 99678
2 EYENESS eye wipes
1
(wet wipes) HIS 220046
3 NEVANAC E/D (I)
1 ALCON
(Nepafenac 0.1% ) 115MT
4 VIGAMOX E/O (I)
1 ALCON 1183P
(Moxifloxacin 0.5%)
5
[Trehalube
(sodium hyaluronate lmg/ml) 1 MICRO TRBS0029
GST: 147.89 CGST: 73.95 SGST: 73.95
Tendor: 1,506.28
Change: 0
Received with thanks a sum of Rs.
1,506.28
Amount in words :
Paymentmode :
Terms & Conditions
One Thousand Five Hundred Six
Card,D,D
1. Medicines once opened will not be exchanged or refunded.
Expiry Date MRP Disc% GSTO/o Amount (Rs}
28/02/2024 56.39 0.00 12.00
31/05/2025 260.00 0.00 18.00
31/05/2023 351.50 0.00 12.00
31/03/2024 357.00 0.00 12.00
31/12/2023 425.00 0.00 5.00
Bill Amount :
Disc Amount :
Net Amount:
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112.78
260.00
351.50
357.00
425.00
1,506.28
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1,506.28
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2. Unopened Medicines may returned with in 15days of purchase only.
2. NETHRADHAMA HOSPITALS PRIVATE LIMITED
256/14 KANAKAPURA MAIN ROAD , 7TH BLOCK JAYANAGAR, , BANGALORE- 560070
Ph- 26088000/ 9448071816 Fax- 26633770
Eye Bank- 080-26634200 , www.nethradharna.org
Print Date : 16/06/2022 10:03 AM CASH BILL CUM RECEIPT R/CB/01/01
OP No
Patient Name
Bill Type
No
1OP1198503
Mrs M. ASHA JYOTHI
Payment
Description
1 CONSULTATION CHARGES
Received a sum of Rs.500.00
Amount in words: Five Hundred Rupees Only
Payment Mode : Cash
CASH : Rs : 500.00
Bill No
Bill Date
Consultant
X
/, 0
Be: +- f u...o L, '11 Qvf'
lE Rn+- ·
JN22-23-28562
16/06/2022
Dr MONIKA KAPOOR
Total Amount :
Net Amount:
Amount(Rs)
500.00
500.00
500 .00
Amount Paid: 500.00
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6/25/22, 11:39 AM
NETHRADHAMA HOSPITALS PRIVATE LIMITED
256/14 KANAKAPURA MAIN ROAD 7TH BLOCK JAYANAGAR, , BANGALORE- 560070
I
Print Date : 25/06/2022 11:39 AM
OP No
Patient Name
Bill Type
1OP1198503
Mrs M. ASHA JYOTHI
Payment
Ph- 26088000/ 9448071816 Fax- 26633770
Eye Bank- 080-26634200 , www.nethradhama.org
CASH BILL CUM RECEIPT
Bill No
Bill Date
Consultant
JN22-23-32613
25/06/2022
Dr MONIKA KAPOOR
No Description
1 Complete Blood Count With ES~
ECG (ELECTROCARDIOGRAM)
3 HBsAg Screening Test r
4 Random Blood Glucose /
Total Amount :
Net Amount:
Received a sum of Rs.950.00
Amount in words: Nine Hundred Fifty Rupees Only
R/CB/01/01
Amount(Rs)
400.00
200.00
300.00
50.00
950.00
950.00
Payment Mode: Card / f Amount Paid: 950.00
CARD : BANK : ICICI BRANCH : BLR CARD NO : 5009 DATE : 25/06/2022 Rs : 950.00
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,tTHRAQijA~A HOSPllALS PVT. J,
A
f~~~Wgff~l~ura Main Rnild,
7th Blo~ ~81r4{8~~angalore · f.,:·)0 qq?.
Ph : 080-26088000/2663420LiG.
;,
tu:29633770 website: www.ne!.!!_~hama·. .· I
4. 6/25/22, 1:52 PM
NETHRADHAMA HOSPITALS PRIVATE LIMITED
256/14 KANAKAPURA MAIN ROAD, 7TH BLOCK JAYANAGAR,, BANGALORE- 560070
Ph - 26088000/ 9448071816 Fax- 26633770
Eye Bank- 080-26634200 , www.nethradhama.org
Print Date : 25/06/2022 01:52 PM
OP No
Patient Name
Bill Type
CASH BILL CUM RECEIPT R/CB/01/01
1OP1198503
Mrs M. ASHA JYOTHI
Payment
No Description
1 PRE OPERATIVE SCANS (CSP) - LE
2 PRE ANAESTHETIC EVALUATION
Received a sum of Rs.l,650.00
Bill No
Bill Date
Consultant
JN22-23-32749
25/06/2022
A-Scan Biometry
Total Amount :
Net Amount:
Amount(Rs)
1,250.00
400.00
1,650.00
1,650.00
Amount in words : One Thousand Six Hundred Fifty Rupees Only
Payment Mode, Card Amount Pa;d, 1,650.00
CARD : BANK : ICICI BRANCH : BLR CARD NO : 5009 DATE : 25/06/2022 Rs : 1,650.00 ~ --
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5. about:blank
7/2/22, 10:35 AM
NETHRADHAMA HOSPITALS PRIVATE LIMITED
2
56/14 KANAKAPURA MAIN ROAD, 7TH BLOCK JAYANAGAR, , BANGALORE- S600
7
0
Ph- 26088000/ 9448071816 Fax- 26633770
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Eye Bank- 080-26634200 , www.nethradhama.org
Print Date : 02/07/2022 10:35 AM
1OP1198503
OP No
Patient Name
Bill Type
Mrs M. ASHA JYOTHI
Payment
No Description
1 VISCOAT/HEALON GV
Received a sum of Rs.2,000.00
Amount in words : Two Thousand Rupees Only
Payment Mode : Cash
CASH : Rs : 2,000.00
CASH BILL CUM RECEIPT
R/CB/01/01
Bill No
Bill Date
Consultant
JN22-23-35222
02/07/2022
Dr SRI GANESH
Total Amount :
Net Amount:
Amount(Rs)
2,000.00
2,000.00
2,000.00
Amount Paid: 2,000.00
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6. 6/25/22, 2:51 PM
NETHRADHAMA HOSPITALS PRIVATE LIMITED
256/14 KANAKAPURA MAIN ROAD , 7TH BLOCK JAYANAGAR, , BANGALORE- 560070
Ph- 26088000/ 9448071816 Fax- 26633770
Eye Bank- 080-26634200 , www.nethradhama.org
Print Date : 25/06/2022 02:51 PM
OP No
Patient Name
Bill Type
1OP1198503
Mrs M. ASHA JYOTHI
Payment
No Description
1 SURGICAL PROCESSING FEE PACKAGE-2 (LE)
Received a sum of Rs.1,000.00
Amount in words : One Thousand Rupees Only
CASH BILL CUM RECEIPT
Bill No
Bill Date
Consultant
JN22-23-32805
25/06/2022
A-Scan Biometry
Total Amount :
Net Amount:
R/CB/01/01
Amount(Rs)
1,000.00
1,000.00
1,000.00
Payment Mode: Card Amount Paid: 1,000.00
CARD : BANK: ICICI BRANCH : BLR CARD NO : 5009 DATE: 25/06/2022 Rs : 1,000.00 6
.
Authori ed .·gnatory
SE BEGUM
NETHRADHAMA HOSPITALS PVT. Uu
!I 256/14, Kanakapura Main Road.
7th Block, Jayanagar, Bangalore - 560 CT82.
Ph: 080-26088000/26634202/03
Fax : 26633770 website: www.net~rndhama:org
