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SAMARPAN HOSPITAL-ICU

0278-2429665
Bill No.: 1
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAMESHBHAI J BHILL
Date:
01-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
57
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 4
|
600.00 |
|
|
|
|
|
| BLOOD SUGER
|

50

| 14
|

700.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5900.00
|
|
|
| Rs. In Words: FIVE THOUSAND NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 2
--------------------------------------------------------------------------------------------------------------------------| Patient:
DHIRAJLAL M DIHORA
Date:
01-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 3
---------------------------------------------------------------------------------------------------------------------------| Patient:
MAYURSINH ANUPSINH JADEJA
Date:
01-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
18
|
|
|

|
|
|
|
----------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
| 450
| 0.5
|
225.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------|
Notes: VIRAL ARTHRITIS,GASTRITIS,DUODENAL ULCER,VIRAL PURPUR
A
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
325.00
|
|
|
| Rs. In Words: THREE HUNDRED AND TWENTY FIVE ONLY/|
---------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 4
--------------------------------------------------------------------------------------------------------------------------| Patient:
VARSHABEN M RATHOD
Date:
02-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
19
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|

|
|
500
|

|
ASCITIS TAPPING
| 1
|

|
|
500.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1500.00
|
|
|
| Rs. In Words: ONE THOUSAND FIVE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 5
---------------------------------------------------------------------------------------------------------------------------| Patient:
RATNABHAI B BALDANIYA
Date:
02-Apr-10
|
|
|
| Address:
PAVATHI
Gender:
F
Age:
65
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
| 1750
| 1.5
|
2625.00 |
|
|
|
|
|
| E. C. G.
| 150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
| 50
| 1
|
50.00 |
|
|
|
|
|
| NEBULISER
| 50
| 8
|
400.00 |
|
|
|
|
|
| VENTILATOR(NON INVESIVE)
| 1250
| 0.5
|
625.00 |
|
|
|
|
|

---------------------------------------------------------------------------------------------------------------------------|
Notes: IHD, DM,CRF
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3950.00
|
|
|
| Rs. In Words: TWO THOUSAND FOUR HUNDRED ONLY/|
---------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665

Bill No.: 6
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHAMPAKBHAI CHUDASAMA
Date:
02-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1425.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 7
---------------------------------------------------------------------------------------------------------------------------| Patient:
VARSHABEN M VIRADIYA
Date:
02-Apr-10
|
|
|
| Address:
SHAMPARA
Gender:
F
Age:
27
|
|
|
|
|
|
|
--------------------------------------------------------------------

---------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
| 1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
| 150
| 1
|
150.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------|
Notes: UNSTABLE ANGINA
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2000.00
|
|
|
| Rs. In Words: TWO THOUSAND ONLY/|
---------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 8
---------------------------------------------------------------------------------------------------------------------------| Patient:
HIMMATBHAI D SAVANI
Date:
02-Apr-10
|
|
|
| Address:
BHOJAVADAR
Gender:
M
Age:
49
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
| 1750
| 2.5
|
4375.00 |
|
|
|
|
|
| E. C. G.
| 150
| 3
|
450.00 |

|
|
|
| 50

|
BLOOD SUGER
| 8

|
|

|
400.00

|
|

|
|
|
---------------------------------------------------------------------------------------------------------------------------|
Notes: HT,DM,ACS,CCF
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5325.00
|
|
|
| Rs. In Words: FIVE THOUSAND THREE HUNDRED AND TWENTY FIVE ONLY/
|
---------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 9
--------------------------------------------------------------------------------------------------------------------------| Patient:
MANUBEN KANJIBHAI MIYANI
Date:
03-Apr-10
|
|
|
| Address:
RAJPIPLA
Gender:
M
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
-------------------------------------------------------------------

--------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1375.00
|
|
|
| Rs. In Words: ONE THOUSAND THREE HUNDRED AND SEVENTY FIVE ONLY/
|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 10

--------------------------------------------------------------------------------------------------------------------------| Patient:
HASEENABEN A SAIYAD
Date:
03-Apr-10
|
|
|
| Address:
LOLIYANA
Gender:
F
Age:
55
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 11
|
550.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| ENDOTRACHEAL TUBE
|
300
| 1
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6400.00
|
|

|
| Rs. In Words: SIX THOUSAND FOUR HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 11
--------------------------------------------------------------------------------------------------------------------------| Patient:
SHIVSHANKAR S MEHTA
Date:
04-Apr-10
|
|
|
| Address:
KHADARPAR TA TALAJA DIST BHAVNAGAR
Gender:
M
Age:
75
|
|
|
|

|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1850.00
|
|
|
| Rs. In Words: ONE THOUSAND EIGHT HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 12
--------------------------------------------------------------------------------------------------------------------------| Patient:
LATABEN GOVINDBHAI MAKWANA
Date:
04-Apr-10
|
|
|
| Address:
BAGDANA
Gender:
F
Age:
27
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|

--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 13
--------------------------------------------------------------------------------------------------------------------------| Patient:
NIRALBEN B HARIYANI
Date:
05-Apr-10
|
|
|
| Address:
PITHALPUR
Gender:
F
Age:
21
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 14
--------------------------------------------------------------------------------------------------------------------------| Patient:
THAKARSHIBHAI G BORICHA
Date:
05-Apr-10
|
|
|
| Address:
THORADI TA TALAJA DIST BHAVNAGAR
Gender:
M
Age:
48
|

|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4.5
|
2025.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2425.00
|
|
|
| Rs. In Words: TWO THOUSAND FOUR HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 15
--------------------------------------------------------------------------------------------------------------------------| Patient:
MAKABHAI N GOHIL
Date:
05-Apr-10
|
|
|
| Address:
PADVA
Gender:
M
Age:
22
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
----------------------------------------------------------------------------------------------------------------------------

|
100

ADMISSION CHARGE
| 1
|

|
100.00

|
|

|
450
|

GENERAL ROOM
| 2
|

|
|
900.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 16
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAMESHBHAI S RAJAI
Date:
05-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|

975.00

|
|
| Rs. In Words: NINE HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 17

--------------------------------------------------------------------------------------------------------------------------| Patient:
HANSABA PRAVINSINH GOHIL
Date:
05-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4050.00
|
|
|
| Rs. In Words: FOUR THOUSAND AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 18
--------------------------------------------------------------------------------------------------------------------------| Patient:
VILASBEN M DAVRA
Date:
06-Apr-10
|
|
|
| Address:
TRAKUDA DIST AMRELI
Gender:
F
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|

Fees

Days

Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 19
--------------------------------------------------------------------------------------------------------------------------| Patient:
SONABEN L MEHTALIYA
Date:
06-Apr-10
|
|
|
| Address:
HADAMTALA TA RANPUR DIST BHAVNAGAR
Gender:
F
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------

|
Notes:
Deposit(-):
|

|
.00 |

|
|
|
Total:

|
1150.00

|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 20
--------------------------------------------------------------------------------------------------------------------------| Patient:
DOLATBEN M VIRANI
Date:
06-Apr-10
|
|
|
| Address:
BADI BAZAR ZAFRABAD
Gender:
F
Age:
68
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 4
|
4000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|
|
|
|
| CATHETOR
|
100
| 2
|
200.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:

Deposit(-):
|

|
.00 |

|
|
|
Total:

|
10000.00

|
|
| Rs. In Words: TEN THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 21
--------------------------------------------------------------------------------------------------------------------------| Patient:
SWATIBEN D RAVAL

Date:

07-Apr-10

|
|
| Address:
Gender:
F
|

BHAVNAGAR
Age:

23

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1.5
|
2625.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2725.00
|
|
|
| Rs. In Words: TWO THOUSAND SEVEN HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 22
--------------------------------------------------------------------------------------------------------------------------| Patient:
MATHABHAI Z GOHIL
Date:
08-Apr-10
|
|
|
| Address:
PADVA TA GHOGHA DIST BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
----------------------------------------------------------------------------------------------------------------------------

|
100

ADMISSION CHARGE
| 1
|

|
100.00

|
|

|
450

GENERAL ROOM
| 1.5
|

|
|
675.00

|
|
150
|

|
|

E. C. G.
| 2

|
|
300.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1075.00
|
|
|
| Rs. In Words: ONE THOUSAND AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 23
--------------------------------------------------------------------------------------------------------------------------| Patient:
BACHUBHAI KALUBHAI RATHOD
Date:
08-Apr-10
|
|
|
| Address:
ADHEVADA
Gender:
M
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| E. C. G.
|
150
| 4
|
600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|

.00 |
|
|
|
Total:

|
5950.00

|
|
| Rs. In Words: FIVE THOUSAND NINE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 24
--------------------------------------------------------------------------------------------------------------------------| Patient:
GAFFRBHAI VALABHAI BHAROTIYA
Date:
08-Apr-10
|
|
|
| Address:
SAKADASAR
Gender:
M
Age:
55
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1.5
|
2625.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 2
|
200.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4375.00
|
|
|

| Rs. In Words: FOUR THOUSAND THREE HUNDRED AND SEVENTY FIVE ONLY
|
-------------------------------------------------------------------------------------------------------------------------/-

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 25
--------------------------------------------------------------------------------------------------------------------------| Patient:
DADUBHAI B VAGH
Date:
08-Apr-10
|
|
|
| Address:
MANAR TA:TALAJA DIS:BAVANAGAR
Gender:
M
Age:
30
|
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 5.5
|
2475.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
300
| 2
|
600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3175.00
|
|
|
| Rs. In Words: THREE THOUSAND ONE HUNDRED AND SEVENTY FIVE ONLY/
|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 26
--------------------------------------------------------------------------------------------------------------------------| Patient:
SAKUBEN V CHAUHAN
Date:
09-Apr-10
|
|
|
| Address:
JUNA RAJAPARA
Gender:
F
Age:
20
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|

450

| 2.5
|

1125.00

|
|
|
| BLOOD TRANFUSION
|
300
| 3
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2125.00
|
|
|
| Rs. In Words: TWO THOUSAND ONE HUNDRED AND TWENTY FIVE ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 27
--------------------------------------------------------------------------------------------------------------------------| Patient:
HARSHADBHAI C PONDA
Date:
09-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2100.00
|
|
|

| Rs. In Words: TWO THOUSAND ONE HUNDRED ONLY/|


--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 28
--------------------------------------------------------------------------------------------------------------------------| Patient:
QUTUBBHAI F KAPASI

Date:

09-Apr-10

|
|
| Address:
Gender:
M
|

BHAVNAGAR
Age:

48

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
900.00
|
|
|
| Rs. In Words: NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 29
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAJENDRASINH N GOHIL
Date:
10-Apr-10
|
|
|
| Address:
AVANIA
Gender:
M
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|

---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1150.00
|
|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 30
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAMESHAI SKATAKOLYA
Date:
10-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:

Deposit(-):
|

|
.00 |

|
|
|
Total:

|
2000.00

|
|
| Rs. In Words: TWO THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 31
--------------------------------------------------------------------------------------------------------------------------| Patient:
HARUNDBHAI V KAVA
Date:
10-Apr-10
|
|
|
| Address:
LALDELA RUWAPI ROAD BHAVANAGAR
Gender:
M
Age:
67
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| NEBULISER
|
50
| 10
|
500.00 |
|
|
|
|
|
| O2 CHARGE/1 HOUR
|
20
| 18
|
360.00 |
|
|
|
|
|
| PULSE OXYMETER
|
300
| 2
|
600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3560.00
|

|
|
| Rs. In Words: THREE THOUSAND FIVE HUNDRED AND SIXTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 32
--------------------------------------------------------------------------------------------------------------------------| Patient:
ODHAVJIBHAI L DHANANI
Date:
10-Apr-10
|
|
|
| Address:
VALLABHIPUR
Gender:
M
Age:
78
|

|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| NEBULISER
|
50
| 14
|
700.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4750.00
|
|
|
| Rs. In Words: FOUR THOUSAND SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 33
--------------------------------------------------------------------------------------------------------------------------| Patient:
HARVINDARSINH B JAT
Date:
11-Apr-10
|
|
|
| Address:
SILANPUR
Gender:
M
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| E. C. G.
|

150

| 1
|

150.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
150.00
|
|
|
| Rs. In Words: ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 34
--------------------------------------------------------------------------------------------------------------------------| Patient:
KANTIBHAI D KANTARIYA
Date:
11-Apr-10
|
|
|
| Address:
BHANDARIYA
Gender:
M
Age:
18
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|

| Rs. In Words: ONE THOUSAND ONLY/|


--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 35
--------------------------------------------------------------------------------------------------------------------------| Patient:
KALUBEN B DOLARIYA

Date:

12-Apr-10

|
| Address:
Gender:
F
|

|
DHARESHWAR TA RAJULA DIST AMRELI
Age:
15
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| PULSE OXYMETER
|
300
| 1
|
300.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
300
| 3
|
900.00 |
|
|
|
|
|
| O2 CHARGE/1 HOUR
|
20
| 9
|
180.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2380.00
|
|
|
| Rs. In Words: TWO THOUSAND THREE HUNDRED AND EIGHTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 36
--------------------------------------------------------------------------------------------------------------------------| Patient:
MAYURSINH ANUPSINH JADEJA
Date:
13-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
18
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|

Fees

Days

Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 8
|
3600.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGES
|
1100
| 6
|
6600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
10300.00
|
|
|
| Rs. In Words: TEN THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 37
--------------------------------------------------------------------------------------------------------------------------| Patient:
ALPESHBHAI M BARAIYA
Date:
13-Apr-10
|
|
|
| Address:
DEVLI TA TALAJA DIST BHAVNAGAR
Gender:
M
Age:
12
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|

|
.00 |
|
|
|
Total:

|
1900.00

|
|
| Rs. In Words: ONE THOUSAND NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 38
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHAGVANBHAI R RATHOD
Date:
13-Apr-10
|
|
|
| Address:
VIKALIYA TA GADHDA DIST BHAVNAGAR
Gender:
M
Age:
19
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 39
--------------------------------------------------------------------------------------------------------------------------| Patient:
PARSHOTTAMBHAI O LUKHI
Date:
13-Apr-10
|
|
|
| Address:
GOLRAMA,TA UMRALA,DIST BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|

|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
775.00
|
|
|
| Rs. In Words: SEVEN HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 40
--------------------------------------------------------------------------------------------------------------------------| Patient:
UJIBEN M JETANI
Date:
13-Apr-10
|
|
|
| Address:
BUDHEL TA:BHAVANAGAR DIS BHAVANAGAR
Gender:
F
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
| BLOOD SUGER
|

50

| 2
|

100.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1325.00
|
|
|
| Rs. In Words: ONE THOUSAND THREE HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 41
--------------------------------------------------------------------------------------------------------------------------| Patient:
PURIBEN B KATOSANA
Date:
13-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|

|
2400.00

|
|
| Rs. In Words: TWO THOUSAND FOUR HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 42
--------------------------------------------------------------------------------------------------------------------------| Patient:
GHANSHYAMBHAI K PATEL

Date:

14-Apr-10

|
|
| Address:
Gender:
M
|

BOTAD
Age:

28

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2000.00
|
|
|
| Rs. In Words: TWO THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 43
--------------------------------------------------------------------------------------------------------------------------| Patient:
DHAMABHAI R JETHWA
Date:
14-Apr-10
|
|
|
| Address:
PITHALPUR
Gender:
M
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|

---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 44
--------------------------------------------------------------------------------------------------------------------------| Patient:
DAYABEN VALLABHBHAI KOSHIYA
Date:
14-Apr-10
|
|
|
| Address:
PANSOPARA
Gender:
F
Age:
15
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|

|
|
Total:

|
1900.00

|
|
| Rs. In Words: ONE THOUSAND NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 45
--------------------------------------------------------------------------------------------------------------------------| Patient:
PATHUBHAI K GOHIL
Date:
14-Apr-10
|
|
|
| Address:
NANA NAVAGAM
Gender:
M
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
975.00
|
|
|
| Rs. In Words: NINE HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 46
--------------------------------------------------------------------------------------------------------------------------| Patient:
MANUBHAI R RATHOD
Date:
15-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
51
|
|
|
|
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------Services Rendered
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1.5
|
2625.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3900.00
|
|
|
| Rs. In Words: THREE THOUSAND NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 47
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAGDISHBHAI V TRIVEDI
Date:
15-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
36
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|

--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 48
--------------------------------------------------------------------------------------------------------------------------| Patient:
SAVITABEN N DABHI
Date:
15-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
52
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 49
--------------------------------------------------------------------------------------------------------------------------| Patient:
JENTIBHAI M PARMAR
Date:
15-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
75
|

|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1250.00
|
|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 50
--------------------------------------------------------------------------------------------------------------------------| Patient:
KAMLESHBHAI DHARMANANDBHAI VADHVANIYA
Date:
16-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
21
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|

|
|
100

|
ADMISSION CHARGE
| 0
|

|
|
000.00

|
|

|
450

GENERAL ROOM
| 1.5
|

|
|
675.00

|
|

|
450
|

GENERAL ROOM
| 0
|

|
|
000.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
775.00
|
|
|
| Rs. In Words: SEVEN HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 51
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHHAGANBHAI G KHADELA
Date:
16-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 0
|
000.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0
|
0000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |

|
|
150
|

|
|

E. C. G.
| 0

|
|
000.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2250.00
|
|
|
| Rs. In Words: TWO THOUSAND TWO HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 52
--------------------------------------------------------------------------------------------------------------------------| Patient:
NONGHABHAI B JAMBUCHA
Date:
16-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 0
|
000.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3.5
|
6125.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0
|
0000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 4
|
600.00 |
|
|
|
|
|
| E. C. G.
|
150
| 0
|
000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |

|
|
|
Total:

|
6825.00

|
|
| Rs. In Words: SIX THOUSAND EIGHT HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 53
--------------------------------------------------------------------------------------------------------------------------| Patient:
PARSHOTAMBHAI LUKHI
Date:
17-Apr-10
|

|
|
| Address:
Gender:
M
|

CHITRA
Age:

65

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 0
|
000.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0
|
0000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 54
--------------------------------------------------------------------------------------------------------------------------| Patient:
ILABA PARMAR
Date:
17-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 0
|
000.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0
|
0000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2100.00
|
|
|
| Rs. In Words: TWO THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 55
--------------------------------------------------------------------------------------------------------------------------| Patient:
SUKETUBHAI SHAH
Date:
17-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
39
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 0
|
000.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|

|
1000

DELUXE ROOM
| 0.0

ENEMA
| 0

E. C. G.
| 1

E. C. G.
| 0

000.00

|
|
100

|
|
|
.00

|
|
150

|
|
|
150.00

|
|
150

|
|
000.00

|
|
|
| DR JAY SHAH CONSULTATION
|
600
| 0
|
000.00 |
|
|
|
|
|
| CONSULTANT CHARGE
|
400
| 1
|
400.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1150.00
|
|
|
| Rs. In Words: ONE THOUSAND THREE HUNDRED AND FIFTY ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 56
--------------------------------------------------------------------------------------------------------------------------| Patient:
AJITSINH JADEJA
Date:
17-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 0
|
000.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0
|
0000.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------

|
Notes:
Deposit(-):
|

|
.00 |

|
|
|
Total:

|
1225.00

|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 57
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHANDRAKANTBHAI RATILAL
Date:
18-Apr-10
|
|
|
| Address:
TALAJA
Gender:
M
Age:
73
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 0
|
000.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0
|
0000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2100.00
|
|
|
| Rs. In Words: TWO THOUSAND ONE HUNDRED ONLY/|
------------------------------------------------------------------

---------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 58
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAMABEN VYAS
Date:
18-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
83
|
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 0
|
000.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2.5
|
2500.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0
|
0000 .00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| E. C. G.
|
150
| 0
|
000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2750.00
|
|
|
| Rs. In Words: TWO THOUSAND SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 59
--------------------------------------------------------------------------------------------------------------------------| Patient:
JASIBEN H SOLANKI
Date:
18-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
52
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
----------------------------------------------------------------------------------------------------------------------------

|
100

ADMISSION CHARGE
| 1
|

|
100.00

|
|
|
| ADMISSION CHARGE
|
100
| 0
|
000.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0
|
0000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| E. C. G.
|
150
| 0
|
000.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 3
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1400.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 60
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAGJIVANBHAI SORATHIA
Date:
18-Apr-10
|
|
|
| Address:
KAMLEJ
Gender:
M
Age:
76
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 0
|
000.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 4
|
7000.00 |

|
|
1000

|
|

DELUXE ROOM
| 0

E. C. G.
| 6

E. C. G.
| 0

|
|
0000.00

|
|
150

|
|
|
900.00

|
|
150
|

|
|
|
000.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
8000.00
|
|
|
| Rs. In Words: EIGHT THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 61
--------------------------------------------------------------------------------------------------------------------------| Patient:
RATANBEN DIHORA
Date:
18-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
23
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 0
|
000.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0
|
000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |

|
|
|
Total:

|
550.00

|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 62

--------------------------------------------------------------------------------------------------------------------------| Patient:
HALVIBEN MAKVANA
Date:
19-Apr-10
|
|
|
| Address:
MORCHAND TA GHOGHA
Gender:
F
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 0
|
000.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 7
|
3150.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0
|
0000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3250.00
|
|
|
| Rs. In Words: THREE THOUSAND TWO HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 63
--------------------------------------------------------------------------------------------------------------------------| Patient:
HATHUBHA GOHIL
Date:
19-Apr-10
|
|
|
| Address:
MAMSA
Gender:
M
Age:
65
|
|
|
|
|
|
|

---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 0
|
000.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0
|
0000.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
| E. C. G.
|
150
| 4
|
600.00 |
|
|
|
|
|
| E. C. G.
|
150
| 0
|
000.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4325.00
|

|
|
| Rs. In Words: THREE THOUSAND FIVE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 64
--------------------------------------------------------------------------------------------------------------------------| Patient:
LALJIBHAI VALA
Date:
19-Apr-10
|
|
|
| Address:
DHADHUKA
Gender:
M
Age:
59
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 0
|
000.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0
|
0000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 0
|
000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 2
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2000.00
|
|
|
| Rs. In Words: TWO THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 65
--------------------------------------------------------------------------------------------------------------------------| Patient:
KANTIBHAI L SOLANKI
Date:
15-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
59
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 0
|
000.00 |
|
|

|
1750

I. C. U.
| 2.5

I. C. U.
| 0

E. C. G.
| 4

DELUXE ROOM
| 1

BLOOD SUGER
| 12

E. C. G.
| 2

CATHETOR
| 1

|
|
4375.00

|
|
1750

|
|
|
0000.00

|
|
150

|
|
|
600.00

|
|
1000

|
|
|
1000.00

|
|
50

|
|
|
600.00

|
|
150

|
|
|
300.00

|
|
100
|

|
|
|
100.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5675.00
|
|
|
| Rs. In Words: FIVE THOUSAND SIX HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 66
--------------------------------------------------------------------------------------------------------------------------| Patient:
KANTIBHAI L SOLANKI
Date:
16-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
59
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 0
|
000.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2.5
|
4375.00 |
|
|
|
|
|
| I. C. U.
|

1750

| 0

0000.00

|
|
150

|
|

E. C. G.
| 4

E. C. G.
| 0

BLOOD SUGER
| 12

|
|
600.00

|
|
150

|
|
|
000.00

|
|
50

|
|
|
600.00

|
|
50
|

|
BLOOD SUGER
| 0
|

|
|
000.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5675.00
|
|
|
| Rs. In Words: FIVE THOUSAND SIX HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 67
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAZAQBHAI G SAIYAD
Date:
16-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
52
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 0
|
000.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0
|
0000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| E. C. G.
|

150

| 0
|

000.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2150.00
|
|
|
| Rs. In Words: TWO THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 68
--------------------------------------------------------------------------------------------------------------------------| Patient:
PUSHPABEN K MEHTA
Date:
23-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
74
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 0
|
000.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|

.00 |
|
|
|
Total:

|
3525.00

|
|
| Rs. In Words: THREE THOUSAND TWO HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 69
--------------------------------------------------------------------------------------------------------------------------| Patient:
PARASBHAI V CHAUHAN
Date:
23-Jul-10
|
|

| Address:
Gender:
M
|

|
MANAR TA:TALAJA DIS:BAVANAGAR
Age:
13
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
775.00
|
|
|
| Rs. In Words: SEVEN HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 70
--------------------------------------------------------------------------------------------------------------------------| Patient:
HIMMATBHAI R NAVADIYA
Date:
23-Apr-10
|
|
|
| Address:
DHARVALA TA UMRALA DIST BHAVNAGAR
Gender:
M
Age:
36
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |

|
|
1000
|

|
|

DELUXE ROOM
| 2

|
|
2000.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2100.00
|
|
|
| Rs. In Words: TWO THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 71
--------------------------------------------------------------------------------------------------------------------------| Patient:
AMRUTBEN ANTUBHAI
Date:
23-Apr-10
|
|
|
| Address:
SAKADASAR
Gender:
F
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|

.00 |
|
|
|
Total:

|
2750.00

|
|
| Rs. In Words: TWO THOUSAND SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665

Bill No.: 72
--------------------------------------------------------------------------------------------------------------------------| Patient:
NIRAJBHAI D CHAUHAN
Date:
23-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1100.00
|
|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 73
--------------------------------------------------------------------------------------------------------------------------| Patient:
ASHOKBHAI P SONI
Date:
23-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
48
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|

Fees

Days

Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3.5
|
1575.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 18
|
900.00 |
|
|
|
|
|
| NEBULISER
|
50
| 16
|
800.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3375.00
|
|
|
| Rs. In Words: THREE THOUSAND THREE HUNDRED AND SEVENTY FIVE ONL
Y/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 74
--------------------------------------------------------------------------------------------------------------------------| Patient:
DASHRATHSINH B GOHIL
Date:
23-Apr-10
|
|
|
| Address:
MALPAR,TA GHOGHA,DIST BHAVNAGAR
Gender:
M
Age:
25
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 6
|
6000.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------

|
Notes:
Deposit(-):
|

|
.00 |

|
|
|
Total:

|
6100.00

|
|
| Rs. In Words: SIX THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 75
--------------------------------------------------------------------------------------------------------------------------| Patient:
ANIRUDDHSINH S GOHIL
Date:
23-Apr-10
|
|
|
| Address:
TANSA TA GHOGHA DIST BHAVNAGAR
Gender:
M
Age:
25
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1225.00
|
|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 76
--------------------------------------------------------------------------------------------------------------------------| Patient:
HARESHBHAI RATHOD
Date:
23-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
49
|
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1225.00
|
|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 77
--------------------------------------------------------------------------------------------------------------------------| Patient:
KASHIBEN N SOLANKI
Date:
24-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
43
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|

|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
975.00
|
|
|
| Rs. In Words: NINE HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 78
--------------------------------------------------------------------------------------------------------------------------| Patient:
KOMALBEN H JETHWA
Date:
24-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
22
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 79
--------------------------------------------------------------------------------------------------------------------------| Patient:
AMITABEN T AAHUJA
Date:
24-Apr-10
|
|
|
| Address:
BHAVNAGAR

Gender:
|

Age:

25

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 80
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAYDEVBHAI J DABHI
Date:
25-Apr-10
|
|
|
| Address:
TANSA TA GHOGHA DIST BHAVNAGAR
Gender:
M
Age:
62
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|

|
1750

I. C. U.
| 3.5

E. C. G.
| 6

BLOOD SUGER
| 22

6125.00

|
|
150

|
|
|
900.00

|
|
50
|

|
|
|
1100.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
8225.00
|
|
|
| Rs. In Words: EIGHT THOUSAND TWO HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 81
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHAGANBHAI P KAJAVADRA
Date:
25-Apr-10
|
|
|
| Address:
PARWALA TA UMRALA DIST BHAVNAGAR
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 4
|
7000.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|

|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
7900.00
|
|
|
| Rs. In Words: SEVEN THOUSAND NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 82
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAMABEN SHANTILAL VYAS
Date:
26-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
83
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 6
|
900.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| NEBULISER
|
50
| 30
|
1500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|

Total:

|
10850.00

|
|
| Rs. In Words: TEN THOUSAND EIGHT HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 83
--------------------------------------------------------------------------------------------------------------------------| Patient:
MANIBEN A SACHARARA
Date:
27-Apr-10
|
|
|
| Address:
VALKEGAT BHAVANAGAR

Gender:
|

Age:

45

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 84
--------------------------------------------------------------------------------------------------------------------------| Patient:
MANISHABEN D PANDYA
Date:
27-Apr-10
|
|
|
| Address:
TIMANA TA TALAJA DIST BHAVNAGAR
Gender:
F
Age:
21
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|

|
1750

I. C. U.
| 2

3500.00

|
|
450

|
GENERAL ROOM
| 2
|

|
|
900.00

|
|
150

|
|

E. C. G.
| 2

BLOOD SUGER
| 44

CATHETOR
| 1

|
|
300.00

|
|
50

|
|
|
2200.00

|
|
100
|

|
|
|
100.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
7100.00
|
|
|
| Rs. In Words: SEVEN THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 85
--------------------------------------------------------------------------------------------------------------------------| Patient:
ISHWARBHAI D JANI
Date:
28-Apr-10
|
|
|
| Address:
BHAKHAL TA SIHOR DIST BHAVNAGAR
Gender:
M
Age:
23
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|

|
.00 |
|
|
|
Total:

|
1600.00

|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 86
--------------------------------------------------------------------------------------------------------------------------| Patient:
SUBABEN A GOHIL
Date:
28-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 87
--------------------------------------------------------------------------------------------------------------------------| Patient:
PRADIPSINH R GOHIL
Date:
28-Apr-10
|
|
|
| Address:
MORCHAND TA GHOGHA DIST BHAVNAGAR
Gender:
M
Age:
23
|
|
|
|
|
|
|

---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1775.00
|
|
|
| Rs. In Words: ONE THOUSAND SEVEN HUNDRED AND SEVENTY FIVE ONLY/
|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 88
--------------------------------------------------------------------------------------------------------------------------| Patient:
LABHAUBEN T LUKHI
Date:
28-Apr-10
|
|
|
| Address:
THORADI TA:GHAGHA DIS:BHAVNAGAR
Gender:
F
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|

|
150
|

E. C. G.
| 4

|
|
600.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4200.00
|
|
|
| Rs. In Words: FOUR THOUSAND TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 89
--------------------------------------------------------------------------------------------------------------------------| Patient:
HARIKISHANBHAI S DHANDHLYA
Date:
28-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
21
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3.5
|
1575.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1675.00
|
|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED AND SEVENTY FIVE ONLY/|

--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 90
--------------------------------------------------------------------------------------------------------------------------| Patient:
HIFABHAI R CHAUHAN
Date:
28-Apr-10
|
|

| Address:
Gender:
M
|

|
CHHAYA TA GHOGHA DIST BHAVNAGAR
Age:
75
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 4
|
600.00 |
|
|
|
|
|
| PULSE OXYMETER
|
300
| 1
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3200.00
|
|
|
| Rs. In Words: THREE THOUSAND TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 91
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHIMJIBHAI L ITALIYA
Date:
30-Apr-10
|
|
|
| Address:
NAGDHANIBA
Gender:
M
Age:
56
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 92
--------------------------------------------------------------------------------------------------------------------------| Patient:
ZAHIDABEN S BELIM
Date:
30-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
32
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 4
|
4000.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 18
|
900.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------

|
Notes:
Deposit(-):
|

|
.00 |

|
|
|
Total:

|
5000.00

|
|
| Rs. In Words: FIVE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 93
--------------------------------------------------------------------------------------------------------------------------| Patient:
ARVINDBHAI V SHAH
Date:
30-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
63
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2300.00
|
|
|
| Rs. In Words: TWO THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 94
--------------------------------------------------------------------------------------------------------------------------| Patient:
SANTOKBEN V PARMAR
Date:
01-May-10
|
|
|
| Address:
BAPADA TA TALAJA DIST BHAVNAGAR
Gender:
F
Age:
72
|
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2200.00
|
|
|
| Rs. In Words: TWO THOUSAND TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 95
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAGDISHBHAI K GOHIL
Date:
01-May-10
|
|
|
| Address:
MORCHAND TA GHOGHA DIST BHAVNAGAR
Gender:
M
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|

1750

| 2

3500.00

|
|
450

|
GENERAL ROOM
| 3
|

|
|
1350.00

|
|
150
|

|
|

E. C. G.
| 6

|
|
900.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5850.00
|
|
|
| Rs. In Words: FIVE THOUSAND EIGHT HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 96
--------------------------------------------------------------------------------------------------------------------------| Patient:
LALLUBHAI T PARMAR
Date:
01-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
82
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
325.00
|

|
|
| Rs. In Words: THREE HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 97
-------------------------------------------------------------------

--------------------------------------------------------| Patient:
VASHNBEN BANMYA
Date:
01-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
25
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
475.00
|
|
|
| Rs. In Words: FOUR HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 98
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAVIRAJSHI JADJA
Date:
01-May-10
|
|
|
| Address:
BHDHEL BHAVNAGAR
Gender:
M
Age:
20
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2100.00
|
|
|
| Rs. In Words: TWO THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 99
--------------------------------------------------------------------------------------------------------------------------| Patient:
SAVITABEN T SACHAPARA
Date:
01-May-10
|
|
|
| Address:
BUDHEL TA DIST BHAVNAGAR
Gender:
F
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| ENDOTRACHEAL TUBE
|
300
| 1
|
300.00 |
|
|

|
100

CATHETOR
| 1

E. C. G.
| 4

|
|
100.00

|
|
150

|
|
600.00

|
|
|
| VENTILATOR(INVESIVE)
|
2500
| 1.5
|
3750.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
11000.00
|
|
|
| Rs. In Words: ELEVEN THOUSAND ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 100
--------------------------------------------------------------------------------------------------------------------------| Patient:
LABHAUBEN T LUKHI
Date:
02-May-10
|
|
|
| Address:
THORADI TA:GHAGHA DIS:BHAVNAGAR
Gender:
F
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1.5
|
2625.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|

.00 |
|
|
|
Total:

|
3950.00

|
|
| Rs. In Words: THREE THOUSAND NINE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 101
-------------------------------------------------------------------

--------------------------------------------------------| Patient:
VASHRAMBHAI B BARAIYA
Date:
03-May-10
|
|
|
| Address:
DIHOR TA GHOGHA DIST BHAVNAGAR
Gender:
M
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1225.00
|
|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 102
--------------------------------------------------------------------------------------------------------------------------| Patient:
BACHUBEN L PANDYA
Date:
03-May-10
|
|
|
| Address:
SATHRA TA TALAJA DIST BHAVNAGAR
Gender:
F
Age:
80
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|

---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2000.00
|
|
|
| Rs. In Words: TWO THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 103
--------------------------------------------------------------------------------------------------------------------------| Patient:
VANITABEN S PATEL
Date:
03-May-10
|
|
|
| Address:
VIRDI
Gender:
F
Age:
25
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 4
|
4000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|

|
|
Total:

|
4100.00

|
|
| Rs. In Words: FOUR THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 104
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHARTIBEN P GOHIL
Date:
03-May-10
|
|
|
| Address:
AHMEDABAD
Gender:
F
Age:
34
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
300
| 2
|
600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1600.00
|
|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 105
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHARATBHASI N DESAI
Date:
03-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
58
|
|
|
|
|
|

|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1275.00
|
|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 106
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHARATBHAI S GOHIL
Date:
04-May-10
|
|
|
| Address:
SOSIYA TA TALAJA DIST BHAVNAGAR
Gender:
M
Age:
22
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|

--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 107
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHITHARBHAI S CHAUHAN
Date:
04-May-10
|
|
|
| Address:
SARTANPAR TA TALAJA DIST BHAVNAGAR
Gender:
M
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 2
|
100.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:

Deposit(-):
|

|
.00 |

|
|
|
Total:

|
5100.00

|
|
| Rs. In Words: FIVE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 108
-------------------------------------------------------------------

--------------------------------------------------------| Patient:
ALOKBHAI S PODAR
Date:
04-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
25
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
300
| 2
|
600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
925.00
|
|
|
| Rs. In Words: NINE HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 109
--------------------------------------------------------------------------------------------------------------------------| Patient:
VALLABHBHAI UKABHAI PATELIYA
Date:
04-May-10
|
|
|
| Address:
SANODAR TA GHOGHA DIST BHAVNAGAR
Gender:
M
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1650.00
|
|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 110
--------------------------------------------------------------------------------------------------------------------------| Patient:
NAYNABEN C UPADHYAY
Date:
05-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1.5
|
1500.00 |
|
|

|
150

E. C. G.
| 2

BLOOD SUGER
| 1

|
|
300.00

|
|
50
|

|
|
|
50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2825.00
|
|
|
| Rs. In Words: TWO THOUSAND EIGHT HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 111
--------------------------------------------------------------------------------------------------------------------------| Patient:
JEBUNBEN F KAPASI
Date:
05-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
600.00
|
|
|
| Rs. In Words: SIX HUNDRED ONLY/|
------------------------------------------------------------------

---------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 112
--------------------------------------------------------------------------------------------------------------------------| Patient:
PRAMODBHAI P YDAV
Date:
06-May-10
|
|
|

| Address:
Gender:
M
|

BHAVNAGAR
Age:

21

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 113
--------------------------------------------------------------------------------------------------------------------------| Patient:
VIRJIBHAI K VASANI
Date:
06-May-10
|
|
|
| Address:
BUDHEL TA DIST BHAVNAGAR
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|

|
1750

I. C. U.
| 0.5

|
|
875.00

|
|
450

|
GENERAL ROOM
| 1
|

|
|
450.00

|
|
150
|

|
|

E. C. G.
| 3

|
|
450.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1875.00
|
|
|
| Rs. In Words: ONE THOUSAND EIGHT HUNDRED AND SEVENTY FIVE ONLY/
|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 114
--------------------------------------------------------------------------------------------------------------------------| Patient:
GHELABHAI D DABHI
Date:
06-May-10
|
|
|
| Address:
BHARPARA TA TALAJA DIST BHAVNAGAR
Gender:
M
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
300
| 3
|
900.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------

|
Notes:
Deposit(-):
|

|
.00 |

|
|
|
Total:

|
2500.00

|
|
| Rs. In Words: TWO THOUSAND FIVE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 115
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAYABEN VALLABHBHAI PARMAR
Date:
07-May-10
|
|
|
| Address:
DHAKARKUNDLA
Gender:
F
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 4
|
600.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
300
| 5
|
1500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
7900.00
|
|

|
| Rs. In Words: SEVEN THOUSAND NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 116
--------------------------------------------------------------------------------------------------------------------------| Patient:
MONGHIBEN M PASOTAR
Date:
07-May-10
|
|
|
| Address:
TANSA TA GHOGHA DIST BVN
Gender:
F
Age:
65
|
|

|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1.5
|
2625.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 4
|
200.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3275.00
|
|
|
| Rs. In Words: THREE THOUSAND TWO HUNDRED AND SEVENTY FIVE ONLY/
|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 117
--------------------------------------------------------------------------------------------------------------------------| Patient:
MOHANBA D GOHIL
Date:
08-May-10
|
|
|
| Address:
KHADARPAR TA TALAJA DIST BVN
Gender:
F
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 2
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1700.00
|
|
|
| Rs. In Words: ONE THOUSAND SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 118
--------------------------------------------------------------------------------------------------------------------------| Patient:
PATHUBHA M SARVAIYA
Date:
08-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
2000
| 2
|
4000.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 9
|
450.00 |

|
|
50

|
|

NEBULISER
| 10

|
|
500.00

|
|
|
| NURSING CHARGES
|
250
| 3
|
750.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6250.00
|
|
|
| Rs. In Words: SIX THOUSAND TWO HUNDRED AND FIFTY ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 119
--------------------------------------------------------------------------------------------------------------------------| Patient:
PRATAPBHAI C BARAIYA
Date:
08-May-10
|
|
|
| Address:
PALITANA
Gender:
M
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1900.00
|
|
|
| Rs. In Words: ONE THOUSAND NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 120
--------------------------------------------------------------------------------------------------------------------------| Patient:
LATABEN P JASOLIYA
Date:
08-May-10
|
|
|
| Address:
TARSAMIYA

Gender:
|

Age:

28

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1.5
|
2625.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4000.00
|
|
|
| Rs. In Words: FOUR THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 121
--------------------------------------------------------------------------------------------------------------------------| Patient:
HARDEVPARI VAGHPARI GOSWAMI
Date:
09-May-10
|
|
|
| Address:
NONGHANVADAR, TA PALITANA DIST BVN
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
----------------------------------------------------------------------------------------------------------------------------

|
100

ADMISSION CHARGE
| 1
|

|
100.00

|
|
1750

|
|

I. C. U.
| 3

|
|
5250.00

|
|
450

|
GENERAL ROOM
| 1
|

|
|
450.00

|
|
150

|
|

E. C. G.
| 4

BLOOD SUGER
| 18

|
|
600.00

|
|
50
|

|
|
|
900.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
7300.00
|
|
|
| Rs. In Words: SEVEN THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 122
--------------------------------------------------------------------------------------------------------------------------| Patient:
PRIYANKABEN S JAYSAWAL
Date:
09-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
18
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |

|
|
|
Total:

|
3100.00

|
|
| Rs. In Words: THREE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 123
--------------------------------------------------------------------------------------------------------------------------| Patient:
GODAVRIBEN D GOLAKIYA
Date:
09-May-10
|
|
|
| Address:
BAJUD,TA UMRALA DIST BVN
Gender:
F
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| NEBULISER
|
50
| 5
|
250.00 |
|
|
|
|
|
| O2 CHARGE/1 HOUR
|
20
| 12
|
240.00 |
|
|
|
|
|
| PULSE OXYMETER
|
300
| 1
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1340.00
|
|

|
| Rs. In Words: ONE THOUSAND THREE HUNDRED AND FORTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 124
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAJUBHAI B BARADA
Date:
10-May-10
|
|
|
| Address:
BHANDARIYA TA PALITANA DIST BVN
Gender:
M
Age:
12
|
|

|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3.5
|
3500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3600.00
|
|
|
| Rs. In Words: THREE THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 125
--------------------------------------------------------------------------------------------------------------------------| Patient:
JETHUBHAI M BHADARKA
Date:
10-May-10
|
|
|
| Address:
KODIYA TA TALAJA DIST BVN
Gender:
M
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 126
--------------------------------------------------------------------------------------------------------------------------| Patient:
SANJAYBHAI JAYSWAL
Date:
10-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
44
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2.5
|
2500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2600.00
|
|
|
| Rs. In Words: TWO THOUSAND SIX HUNDRED ONLY/|
------------------------------------------------------------------

---------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 127
--------------------------------------------------------------------------------------------------------------------------| Patient:
HARJIBHAI D CHAUHAN
Date:
10-May-10
|
|
|

| Address:
Gender:
M
|

BHAVNAGAR
Age:

70

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
325.00
|
|
|
| Rs. In Words: THREE HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 128
--------------------------------------------------------------------------------------------------------------------------| Patient:
GUNVANTSINH M GOHIL
Date:
10-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|

|
1750

I. C. U.
| 2

E. C. G.
| 3

BLOOD SUGER
| 1

|
|
3500.00

|
|
150

|
|
|
450.00

|
|
50
|

|
|
|
50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4100.00
|
|
|
| Rs. In Words: FOUR THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 129
--------------------------------------------------------------------------------------------------------------------------| Patient:
MANEKBEN N PARMAR
Date:
10-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
68
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|

|
325.00

|
|
| Rs. In Words: THREE HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 130

--------------------------------------------------------------------------------------------------------------------------| Patient:
AMITABEN A KASHRIYA
Date:
11-May-10
|
|
|
| Address:
TABAT TA GARIADHAR DIST BVN
Gender:
F
Age:
26
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1150.00
|
|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 131
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAYABEN V CHAUHAN
Date:
11-May-10
|
|
|
| Address:
KHOKHRA TA GHOGHA DIST BVN
Gender:
F
Age:
35
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------

Fees

Services Rendered
Days
|

|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1200.00
|
|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 132
--------------------------------------------------------------------------------------------------------------------------| Patient:
UKABHAI S TOTO
Date:
12-May-10
|
|
|
| Address:
SANANA TA PALITANA DISTR BVN
Gender:
M
Age:
66
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 5
|
2250.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|

|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2800.00
|
|
|
| Rs. In Words: TWO THOUSAND EIGHT HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 133
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAMNABEN V SACHAPARA
Date:
12-May-10
|
|
|
| Address:
ADHEWADA
Gender:
F
Age:
62
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1775.00
|

|
|
| Rs. In Words: ONE THOUSAND SEVEN HUNDRED AND SEVENTY FIVE ONLY/
|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 134
--------------------------------------------------------------------------------------------------------------------------| Patient:
PRATAPBHAI M JOSHI
Date:
12-May-10
|
|

|
| Address:
Gender:
M
|

BHAVNAGAR
Age:

32

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2150.00
|
|
|
| Rs. In Words: TWO THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 135
--------------------------------------------------------------------------------------------------------------------------| Patient:
NAGJIBHAI S SALIYANI
Date:
12-May-10
|
|
|
| Address:
LAKHIYANI
Gender:
M
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
----------------------------------------------------------------------------------------------------------------------------

|
100

ADMISSION CHARGE
| 1
|

|
100.00

|
|

|
450

GENERAL ROOM
| 0.5
|

|
|
225.00

|
|
50
|

|
|

NEBULISER
| 1

|
|
50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
375.00
|
|
|
| Rs. In Words: THREE HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 136
--------------------------------------------------------------------------------------------------------------------------| Patient:
ARUNABEN R KABARIA
Date:
12-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| V.V.I.P.
|
2000
| 6
|
12000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| CATHETOR
|

100

| 1
|

100.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
12400.00
|
|
|
| Rs. In Words: TWELVE THOUSAND FOUR HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 137
--------------------------------------------------------------------------------------------------------------------------| Patient:
DEVUBEN R BARAIYA
Date:
13-May-10
|
|
|
| Address:
MALANKA TA DIST BHAVNAGAR
Gender:
F
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| NEBULISER
|
50
| 8
|
400.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4450.00
|
|
|
| Rs. In Words: FOUR THOUSAND FOUR HUNDRED AND FIFTY ONLY/-

|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 138
--------------------------------------------------------------------------------------------------------------------------| Patient:
ASHOKBHAI M BARAIYA
Date:
14-May-10
|
|
|
| Address:
TANSA, TA TALAJA DIST BHAVANAGAR
Gender:
M
Age:
20
|

|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
7000.00
|
|
|
| Rs. In Words: SEVEN THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 139
--------------------------------------------------------------------------------------------------------------------------| Patient:
PANKAJBHAI M NAGAR
Date:
14-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
55
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|

100

| 1

DELUXE ROOM
| 1

E. C. G.
| 2

100.00

|
|
1000

|
|
|
1000.00

|
|
150
|

|
|
|
300.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1400.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 140
--------------------------------------------------------------------------------------------------------------------------| Patient:
KANJIBHAI VAKANI
Date:
14-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |

|
|
|
Total:

|
2150.00

|
|
| Rs. In Words: TWO THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU

0278-2429665
Bill No.: 141
--------------------------------------------------------------------------------------------------------------------------| Patient:
DEEPLE S MAKATI
Date:
14-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 4.5
|
4500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4750.00
|
|
|
| Rs. In Words: FOUR THOUSAND SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 142
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAMNABEN R BAMBHNIYA
Date:
15-May-10
|
|
|
| Address:
VEJODARI TA TALAJA DIST BHAVNAGAR
Gender:
F
Age:
47
|
|
|
|
|
|
|

---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1600.00
|
|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 143
--------------------------------------------------------------------------------------------------------------------------| Patient:
JYOTIBEN M RATHOD
Date:
15-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
38
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1.5
|
2625.00 |
|
|
|
|
|
| E. C. G.
|

150

| 1

BLOOD SUGER
| 7

150.00

|
|
50
|

|
|
|
350.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3225.00
|
|
|
| Rs. In Words: THREE THOUSAND TWO HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 144
--------------------------------------------------------------------------------------------------------------------------| Patient:
LILABEN J VALIYA
Date:
15-May-10
|
|
|
| Address:
ZANZMER TA UMRALA DIST BHAVNAGAR
Gender:
F
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| MONITOR CHARGES(NON I. C. U. PATIENT)
|
350
| 2
|
700.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|

|
Total:

|
2600.00

|
|
| Rs. In Words: TWO THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 145
-------------------------------------------------------------------

--------------------------------------------------------| Patient:
RAMJIBHAI B VALA
Date:
16-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 146
--------------------------------------------------------------------------------------------------------------------------| Patient:
DEVJIBHAI K BARAIYA
Date:
17-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
80
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| NEBULISER
|
50
| 12
|
600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5950.00
|
|
|
| Rs. In Words: FIVE THOUSAND NINE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 147
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAYANTIBHAI M PARMAR
Date:
17-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
46
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|

300

| 2
|

600.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2850.00
|
|
|
| Rs. In Words: TWO THOUSAND EIGHT HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 148
--------------------------------------------------------------------------------------------------------------------------| Patient:
KAJALBEN L KATARIYA
Date:
17-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
24
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1225.00
|
|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 149
--------------------------------------------------------------------------------------------------------------------------| Patient:
KIRANBEN RATHOD
Date:
17-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
21
|
|

|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2550.00
|
|
|
| Rs. In Words: TWO THOUSAND FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 150
--------------------------------------------------------------------------------------------------------------------------| Patient:
PARULBEN K GABANI
Date:
18-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
22
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|

100

| 1

DELUXE ROOM
| 1

100.00

|
|
1000
|

|
|
|
1000.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1100.00
|
|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 151
--------------------------------------------------------------------------------------------------------------------------| Patient:
AJAYSINH T GOHIL
Date:
19-May-10
|
|
|
| Address:
TANSA TA GHOGHA DIST BHAVNAGAR
Gender:
M
Age:
32
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2.5
|
4375.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|

|
Total:

|
4925.00

|
|
| Rs. In Words: FOUR THOUSAND NINE HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 152

--------------------------------------------------------------------------------------------------------------------------| Patient:
JERAMBHAI P KORADIYA
Date:
19-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 5
|
5000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
10550.00
|
|
|
| Rs. In Words: TEN THOUSAND FIVE HUNDRED AND FIFTY ONLY/|
------------------------------------------------------------------

---------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 153
--------------------------------------------------------------------------------------------------------------------------| Patient:
NIRMALSINH A GOHIL
Date:
20-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
68
|
|
|
|
|
|

|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3650.00
|
|
|
| Rs. In Words: THREE THOUSAND SIX HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 154
--------------------------------------------------------------------------------------------------------------------------| Patient:
BATUKBHAI S JAMBUCHA
Date:
20-May-10
|
|
|
| Address:
DIHOR TA TALAJA DIST BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |

|
|

|
450

GENERAL ROOM
| 1
|

|
|
450.00

|
|
150

|
|

E. C. G.
| 6

BLOOD SUGER
| 1

|
|
900.00

|
|
50
|

|
|
|
50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6750.00
|
|
|
| Rs. In Words: SIX THOUSAND SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 155
--------------------------------------------------------------------------------------------------------------------------| Patient:
SHANTUBEN K VALAKI
Date:
21-May-10
|
|
|
| Address:
TARESARA TA TALAJA DIST BHAVNAGAR
Gender:
F
Age:
55
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|

|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 156
-------------------------------------------------------------------

--------------------------------------------------------| Patient:
NANDANBEN K DOSHI
Date:
21-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 5
|
750.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 5
|
250.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3300.00
|
|
|
| Rs. In Words: THREE THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 157
--------------------------------------------------------------------------------------------------------------------------| Patient:
PUTLIBEN K NAKARANI
Date:
21-May-10
|
|
|
| Address:
BHADRAVAL TA TALAJA DIST BVN
Gender:
F
Age:
70
|
|
|
|
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------Services Rendered
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1150.00
|
|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 158
--------------------------------------------------------------------------------------------------------------------------| Patient:
SHANTUBEN M PARMAR
Date:
21-May-10
|
|
|
| Address:
BARWALA
Gender:
F
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
900.00
|
|
|
| Rs. In Words: NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 159
--------------------------------------------------------------------------------------------------------------------------| Patient:
ALPABEN V BARAD
Date:
21-May-10
|
|
|
| Address:
DUDHAD TA PALITANA DIST BHAVNAGAR
Gender:
F
Age:
29
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1375.00
|
|
|
| Rs. In Words: ONE THOUSAND THREE HUNDRED AND SEVENTY FIVE ONLY/

|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 160
--------------------------------------------------------------------------------------------------------------------------| Patient:
MANJIBHAI L SIHORA
Date:
21-May-10
|
|
|

| Address:
Gender:
M
|

ADHEWADA
Age:

55

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2775.00
|
|
|
| Rs. In Words: TWO THOUSAND SEVEN HUNDRED AND SEVENTY FIVE ONLY/
|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 161
--------------------------------------------------------------------------------------------------------------------------| Patient:
HAJIBHAI A NAPANI
Date:
22-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
55
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|

---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 162
--------------------------------------------------------------------------------------------------------------------------| Patient:
HIRABEN K BORICHA
Date:
22-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
52
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 5
|
250.00 |
|
|
|
|
|
-------------------------------------------------------------------

--------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
950.00
|
|
|
| Rs. In Words: NINE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 163
--------------------------------------------------------------------------------------------------------------------------| Patient:
KISHANBHAI M BORICHA
Date:
22-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
55
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 164
--------------------------------------------------------------------------------------------------------------------------| Patient:
BALVANTBHAI L JOSHI
Date:
22-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
58
|
|
|
|

|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1250.00
|
|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 165
--------------------------------------------------------------------------------------------------------------------------| Patient:
DHANJIBHAI GOPALJIBHAI DHANDHALYA
Date:
22-May-10
|
|
|
| Address:
SAKDASAR TA TALAJA DIST BVN
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |

|
|

|
450

GENERAL ROOM
| 3.5
|

|
|
1575.00

|
|
150

|
|

E. C. G.
| 1

BLOOD SUGER
| 70

|
|
150.00

|
|
50
|

|
|
|
3500.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
7075.00
|
|
|
| Rs. In Words: SEVEN THOUSAND AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 166
--------------------------------------------------------------------------------------------------------------------------| Patient:
PRAFFULCHANDRA V JOSHI
Date:
22-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1.5
|
2625.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1.5
|
1500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 7
|
350.00 |
|
|
|
|
|

--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4725.00
|
|
|
| Rs. In Words: FOUR THOUSAND SEVEN HUNDRED AND TWENTY FIVE ONLY/
|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 167
--------------------------------------------------------------------------------------------------------------------------| Patient:
MAHENDRABHAI J AACHARYA
Date:
24-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
73
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 15
|
750.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6500.00
|
|
|

| Rs. In Words: SIX THOUSAND FIVE HUNDRED ONLY/|


--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 168
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHADRESHGIRI PRAVINGIRI GOSWAMI
Date:
24-May-10
|
|
|
| Address:
AGIYALI TA SIHOR DIST BVN
Gender:
M
Age:
17
|
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| PLEURAL EFFUSION TAPPING
|
500
| 1
|
500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1950.00
|
|
|
| Rs. In Words: ONE THOUSAND NINE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 169
--------------------------------------------------------------------------------------------------------------------------| Patient:
HARPALSINH K GOHIL
Date:
25-May-10
|
|
|
| Address:
BHAROLI TA TALAJA DIST BHAVNAGAR
Gender:
M
Age:
25
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|

450

| 3
|

1350.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 170
--------------------------------------------------------------------------------------------------------------------------| Patient:
GUNVANTIBEN M CHIKANI
Date:
25-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
56
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|

|
Total:

|
1300.00

|
|
| Rs. In Words: ONE THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 171
-------------------------------------------------------------------

--------------------------------------------------------| Patient:
BHAVESHBHAI S BHATT
Date:
27-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
32
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 172
--------------------------------------------------------------------------------------------------------------------------| Patient:
FARIDABEN N SOLANKI
Date:
27-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
32
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|

---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 173
--------------------------------------------------------------------------------------------------------------------------| Patient:
NIRMALSINH A GOHIL
Date:
28-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
68
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 4
|
4000.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|

.00 |
|
|
|
Total:

|
4200.00

|
|
| Rs. In Words: FOUR THOUSAND TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 174
--------------------------------------------------------------------------------------------------------------------------| Patient:
SAMJUBEN R PARMAR
Date:
29-May-10
|
|
|
| Address:
SIDSAR,TA DIST BHAVNAGAR
Gender:
F
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 175
--------------------------------------------------------------------------------------------------------------------------| Patient:
BAGADAJI M RAMNA
Date:
29-May-10
|
|
|
| Address:
SINANDHAR DIST BADMOR
Gender:
M
Age:
40
|
|
|
|
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------Services Rendered
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 7
|
3150.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
300
| 4
|
1200.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4450.00
|
|
|
| Rs. In Words: FOUR THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 176
--------------------------------------------------------------------------------------------------------------------------| Patient:
NIRMALABEN H GALANI
Date:
29-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1.5
|
1500.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1700.00
|
|
|
| Rs. In Words: ONE THOUSAND SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 177
--------------------------------------------------------------------------------------------------------------------------| Patient:
ANSUYABEN R SONI
Date:
30-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
72
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 6
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|

1700.00

|
|
| Rs. In Words: ONE THOUSAND SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 178
--------------------------------------------------------------------------------------------------------------------------| Patient:
USHABA K CHUDASAMA
Date:
31-May-10
|

|
|
| Address:
Gender:
F
|

BHAVNAGAR
Age:

72

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 4
|
200.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1325.00
|
|
|
| Rs. In Words: ONE THOUSAND THREE HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 179
--------------------------------------------------------------------------------------------------------------------------| Patient:
MATAMBHAI GHELABHAI MANDHVA
Date:
31-May-10
|
|
|
| Address:
AAKROO TA DHANDHUKA DIST AMD
Gender:
M
Age:
26
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 180
--------------------------------------------------------------------------------------------------------------------------| Patient:
JASUMATIBEN ANANTRAI RAJYAGURU
Date:
31-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
72
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 4.5
|
4500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|

|
50
|

BLOOD SUGER
| 1

|
|

50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6550.00
|
|
|
| Rs. In Words: SIX THOUSAND FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 181
--------------------------------------------------------------------------------------------------------------------------| Patient:
RUDIBEN L VEGAD
Date:
01-Jun-10
|
|
|
| Address:
MOTA KHOKHRA TA GHGHA DIST BHAVNAGAR
Gender:
F
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 4
|
600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2900.00
|
|
|

| Rs. In Words: TWO THOUSAND NINE HUNDRED ONLY/|


--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 182
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHAKUBEN M SOLANKI
Date:
02-Jun-10
|
|
|
| Address:
PADVA TA GHOGHA DIST BHAVNAGAR

Gender:
|

Age:

30

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4350.00
|
|
|
| Rs. In Words: FOUR THOUSAND THREE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 183
--------------------------------------------------------------------------------------------------------------------------| Patient:
ABDULKARIM MOHMMAD BAJABA
Date:
02-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
----------------------------------------------------------------------------------------------------------------------------

|
100

ADMISSION CHARGE
| 1
|

|
100.00

|
|

|
450
|

GENERAL ROOM
| 2
|

|
|
900.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 184
--------------------------------------------------------------------------------------------------------------------------| Patient:
KANTIBHAI L SOLANKI
Date:
03-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
55
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2.5
|
4375.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| RBS
|
50
| 8
|
400.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:

Deposit(-):
|

|
.00 |

|
|
|
Total:

|
5025.00

|
|
| Rs. In Words: FIVE THOUSAND AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 185
--------------------------------------------------------------------------------------------------------------------------| Patient:
KESHVBHAI D RAYBANI
Date:
03-Jun-10
|
|
|
| Address:
KHAKHRA TA GHAGHA DIS BHAVNAGAR
Gender:
M
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3.5
|
3500.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| RBS
|
50
| 1
|
50.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4200.00
|
|
|

| Rs. In Words: FOUR THOUSAND TWO HUNDRED ONLY/|


--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 186
--------------------------------------------------------------------------------------------------------------------------| Patient:
JALPABEN G MAKAVANA
Date:
03-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
25
|
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
300
| 4
|
1200.00 |
|
|
|
|
|
| NON M.L. C. CHARGES
|
3000
| 1
|
3000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
11850.00
|
|
|
| Rs. In Words: ELEVEN THOUSAND EIGHT HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 187
--------------------------------------------------------------------------------------------------------------------------| Patient:
MUKESHBHAI MAKAVANA
Date:
03-Jun-10
|
|
|
| Address:
DHANWALA TAUAMARALA DIS BHAVNAGAR
Gender:
M
Age:
32
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
----------------------------------------------------------------------------------------------------------------------------

|
100

ADMISSION CHARGE
| 1
|

|
100.00

|
|

|
450
|

GENERAL ROOM
| 4
|

|
|
1800.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1900.00
|
|
|
| Rs. In Words: ONE THOUSAND NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 188
--------------------------------------------------------------------------------------------------------------------------| Patient:
PRAFFULABEN B TRIVEDI
Date:
04-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| VENTILATOR(INVESIVE)
|
2500
| 3
|
7500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 9
|
450.00 |
|
|

|
|
300

|
ENDOTRACHEAL TUBE
| 2
|

|
|
600.00

|
|
1000

|
|

D. C. SHOCK
| 1

|
|
1000.00

|
|
|
| O2 CHARGE/1 HOUR
|
20
| 100
|
2000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
17350.00
|
|
|
| Rs. In Words: SEVENTEEN THOUSAND THREE HUNDRED AND FIFTY ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 189
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHAVNABEN SURABHAI PANOT
Date:
04-Jun-10
|
|
|
| Address:
NESVAD,TA TALAJA DIST BHAVNAGAR
Gender:
F
Age:
28
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|

975.00

|
|
| Rs. In Words: NINE HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 190
--------------------------------------------------------------------------------------------------------------------------| Patient:
KOMALBEN G GUJRANI
Date:
04-Jun-10
|

|
|
| Address:
Gender:
F
|

BHAVNAGAR
Age:

24

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 191
--------------------------------------------------------------------------------------------------------------------------| Patient:
VALLABHBHAI RAGHANI
Date:
04-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
24
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|

100

| 1

I. C. U.
| 0.5

E. C. G.
| 1

BLOOD SUGER
| 1

100.00

|
|
1750

|
|
|
875.00

|
|
150

|
|
|
150.00

|
|
50
|

|
|
|
50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1175.00
|
|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 192
--------------------------------------------------------------------------------------------------------------------------| Patient:
RASILABEN M JINJALA
Date:
04-Jun-10
|
|
|
| Address:
NEW DEVLI,TALAJA DIST BVN
Gender:
F
Age:
26
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|

|
Total:

|
550.00

|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU

0278-2429665
Bill No.: 193
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHAGVANBHAI J ROY
Date:
05-Jun-10
|
|
|
| Address:
ROY STREET, GARIYADHAR
Gender:
M
Age:
58
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 2
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2250.00
|
|
|
| Rs. In Words: TWO THOUSAND TWO HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 194
--------------------------------------------------------------------------------------------------------------------------| Patient:
RUTURAJ V PARMAR
Date:
05-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
14
|
|
|
|
|

|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 4
|
4000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4100.00
|
|
|
| Rs. In Words: FOUR THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 195
--------------------------------------------------------------------------------------------------------------------------| Patient:
DEVUBEN S PATELIYA
Date:
05-Jun-10
|
|
|
| Address:
VALUKAD,TA GHOGHA DIST BHAVNAGAR
Gender:
F
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
| GENERAL ROOM
|

450

| 0.5

E. C. G.
| 1

225.00

|
|
150
|

|
|
|
150.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
975.00
|
|
|
| Rs. In Words: NINE HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 196
--------------------------------------------------------------------------------------------------------------------------| Patient:
DAYABHAI T BHADANI
Date:
05-Jun-10
|
|
|
| Address:
KANTHARIYA,TA VALLABHIPUR DIST BVN
Gender:
F
Age:
52
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| E. C. G.
|
150
| 5
|
750.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6100.00
|

|
|
| Rs. In Words: SIX THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 197
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAMDEVSINH V GOHIL

Date:

06-Jun-10

|
|
| Address:
Gender:
M
|

LAKADIYA
Age:

73

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| NEBULISER
|
50
| 2
|
100.00 |
|
|
|
|
|
| D. C. SHOCK
|
1000
| 5
|
5000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6400.00
|
|
|
| Rs. In Words: SIX THOUSAND FOUR HUNDRED ONLY/|
------------------------------------------------------------------

---------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 198
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAYSHREEBEN V BAMBHNIYA
Date:
06-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
25
|
|
|
|
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------Services Rendered
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1575.00
|
|
|
| Rs. In Words: ONE THOUSAND FIVE HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 199
--------------------------------------------------------------------------------------------------------------------------| Patient:
BALABHAI JADAVBHAI CHAUHAN
Date:
06-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|

|
150

E. C. G.
| 1

BLOOD SUGER
| 7

150.00

|
|
50
|

|
|
|
350.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1950.00
|
|
|
| Rs. In Words: ONE THOUSAND NINE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 200
--------------------------------------------------------------------------------------------------------------------------| Patient:
MAHADEVBHAI V GHARADE
Date:
07-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
38
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGES
|
1100
| 2
|
2200.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|

3200.00

|
|
| Rs. In Words: THREE THOUSAND TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 201
---------------------------------------------------------------------------------------------------------------------------

|
Date:

Patient:
BABUBHAI V KANKOTIYA
07-Jun-10

|
| Address:
Gender:
M
|

|
ANANDPAR TA VALLABHIPUR DIST BVN
Age:
65
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1725.00
|
|
|
| Rs. In Words: ONE THOUSAND SEVEN HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 202
--------------------------------------------------------------------------------------------------------------------------| Patient:
MAHENDRABHAI J AACHARYA
Date:
07-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
73
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|

Fees

Days

Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 15
|
750.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3850.00
|
|
|
| Rs. In Words: THREE THOUSAND EIGHT HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 203
--------------------------------------------------------------------------------------------------------------------------| Patient:
PARSHOTTAMBHAI V GOTI
Date:
07-Jun-10
|
|
|
| Address:
ANIDA TA GADHDA DIST BHAVNAGAR
Gender:
M
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 5
|
5000.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 29
|
1450.00 |
|
|
|
|
|

|
50
|

NEBULISER
| 12

|
|

600.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
7150.00
|
|
|
| Rs. In Words: SEVEN THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 204
--------------------------------------------------------------------------------------------------------------------------| Patient:
HANUBHA GOHIL
Date:
07-Jun-10
|
|
|
| Address:
SANODAR TA GHOGHA DIST BHAVNAGAR
Gender:
M
Age:
95
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2.5
|
2500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 5
|
250.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|

3000.00

|
|
| Rs. In Words: THREE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 205
--------------------------------------------------------------------------------------------------------------------------| Patient:
RANJITBHAI J PARMAR
Date:
07-Jun-10
|

|
| Address:
Gender:
M
|

|
USRAD,TA SIHOR DIST BHAVNAGAR
Age:
24
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 206
--------------------------------------------------------------------------------------------------------------------------| Patient:
ANANDBHAI P PANDYA
Date:
08-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|

100

| 1

100.00

|
|
450
|

|
GENERAL ROOM
| 2
|

|
|
900.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 207
--------------------------------------------------------------------------------------------------------------------------| Patient:
KHODABHAI O MAKWANA
Date:
08-Jun-10
|
|
|
| Address:
ADHEWADA
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|

|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 208
-------------------------------------------------------------------

--------------------------------------------------------| Patient:
NAUSHADBHAI G SAVANT
Date:
08-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
54
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1.5
|
2625.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGES
|
1700
| 1
|
1700.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4725.00
|
|
|
| Rs. In Words: FOUR THOUSAND SEVEN HUNDRED AND TWENTY FIVE ONLY/

|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 209
--------------------------------------------------------------------------------------------------------------------------| Patient:
HANSABEN K CHAVDA
Date:
09-Jun-10
|
|
|
| Address:
THONDA TA UMRALA DIST BHAVNAGAR
Gender:
F
Age:
37
|
|
|
|
|
|

|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
900.00
|
|
|
| Rs. In Words: NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 210
--------------------------------------------------------------------------------------------------------------------------| Patient:
LILABEN POPATBHAI DESAI
Date:
09-Jun-10
|
|
|
| Address:
SAMADHIYALA TA TALAJA DIST BHAVNAGAR
Gender:
F
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |

|
|
150

|
|

E. C. G.
| 1

BLOOD SUGER
| 1

|
|
150.00

|
|
50
|

|
|
|
50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2300.00
|
|
|
| Rs. In Words: TWO THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 211
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAMNABEN J BELIM
Date:
09-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
-------------------------------------------------------------------

--------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1275.00
|
|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU

0278-2429665
Bill No.: 212
--------------------------------------------------------------------------------------------------------------------------| Patient:
MAMTABEN S INDRANI
Date:
10-Jun-10
|
|
|
| Address:
GARIADHAR
Gender:
F
Age:
30
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2250.00
|
|
|
| Rs. In Words: TWO THOUSAND TWO HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 213
--------------------------------------------------------------------------------------------------------------------------| Patient:
DEEPAKKUMAR R PANCHAL
Date:
11-Jun-10
|
|
|
| Address:
MUZAFFARABAD,UP
Gender:
M
Age:
21
|
|
|
|
|
|
|

---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGE
|
1100
| 3
|
3300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4750.00
|
|
|
| Rs. In Words: FOUR THOUSAND SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 214
--------------------------------------------------------------------------------------------------------------------------| Patient:
MANJIBHAI K SIHORA
Date:
11-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
68
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| BLOOD SUGER
|

50

| 7
|

350.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2450.00
|
|
|
| Rs. In Words: TWO THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 215
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHAGANBHAI B MAKWANA
Date:
11-Jun-10
|
|
|
| Address:
AMLI TA TALAJA DIST BHAVNAGAR
Gender:
F
Age:
55
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 8
|
1200.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |

|
|
|
Total:

|
7500.00

|
|
| Rs. In Words: SEVEN THOUSAND FIVE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 216
---------------------------------------------------------------------------------------------------------------------------

|
Date:

Patient:
VALIBEN H GIRLATAL
11-Jun-10

|
|
| Address:
Gender:
F
|

BHAVNAGAR
Age:

60

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 217
--------------------------------------------------------------------------------------------------------------------------| Patient:
KAVABHAI G BHARWAD
Date:
12-Jun-10
|
|
|
| Address:
ADHEWADA
Gender:
M
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 8
|
1200.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 20
|
1000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
8450.00
|
|
|
| Rs. In Words: EIGHT THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 218
--------------------------------------------------------------------------------------------------------------------------| Patient:
KALYANIBEN T KUKDEJA
Date:
12-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
42
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 7
|
3150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 66
|
3300.00 |
|
|
|
|
|
-------------------------------------------------------------------

--------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6550.00
|
|
|
| Rs. In Words: SIX THOUSAND FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 219
--------------------------------------------------------------------------------------------------------------------------| Patient:
KURJIBHAI B BARAIYA
Date:
12-Jun-10
|
|
|
| Address:
NAGDHANIBA
Gender:
M
Age:
15
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
325.00
|
|
|
| Rs. In Words: THREE HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 220
--------------------------------------------------------------------------------------------------------------------------| Patient:
SHANTUBEN M KAKADIYA
Date:
13-Jun-10
|
|
|
| Address:
RAJAPARA TA VALLABHIPUR DIST BVN
Gender:
F
Age:
70
|
|
|
|

|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
| E. C. G.
|
150
| 8
|
1200.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 16
|
800.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
8475.00
|
|
|
| Rs. In Words: EIGHT THOUSAND FOUR HUNDRED AND SEVENTY FIVE ONLY
/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 221
--------------------------------------------------------------------------------------------------------------------------| Patient:
YOGESHBHAI DHANJIBHAI VAGHASIYA
Date:
13-Jun-10
|
|
|
| Address:
SHOBHAVAD TA TALAJA DIST BVN
Gender:
M
Age:
16
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|

|
|
450

|
GENERAL ROOM
| 4
|

|
|
1800.00

|
|
150
|

|
|

E. C. G.
| 1

|
|
150.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2050.00
|
|
|
| Rs. In Words: TWO THOUSAND AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 222
--------------------------------------------------------------------------------------------------------------------------| Patient:
GHANSHYAMBHAI GOTI
Date:
13-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 18
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|

|
.00 |
|
|
|
Total:

|
4150.00

|
|
| Rs. In Words: FOUR THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU

0278-2429665
Bill No.: 223
--------------------------------------------------------------------------------------------------------------------------| Patient:
SONALBEN B MAKWANA
Date:
13-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
23
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 224
--------------------------------------------------------------------------------------------------------------------------| Patient:
DIPENBHAI K GOHIL
Date:
14-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
19
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------

Fees

Services Rendered
Days
|

|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1600.00
|
|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 225
--------------------------------------------------------------------------------------------------------------------------| Patient:
BATUKBHAI S JAMBUCHA
Date:
14-Jun-10
|
|
|
| Address:
DIHOR TA TALAJA DIST BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|

|
150
|

E. C. G.
| 4

|
|
600.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2900.00
|
|
|
| Rs. In Words: TWO THOUSAND NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 226
--------------------------------------------------------------------------------------------------------------------------| Patient:
KAUSHARBHAI B DANGAR
Date:
14-Jun-10
|
|
|
| Address:
PANIYALA TA GHOGHA
Gender:
M
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
475.00
|
|
|

| Rs. In Words: FOUR HUNDRED AND SEVENTY FIVE ONLY/|


--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 227
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAGHAVBHAI G CHAUHAN
Date:
14-Jun-10
|
|

|
| Address:
Gender:
M
|

VALUKAD TA GHOGHA
Age:
60

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 5
|
750.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5350.00
|
|
|
| Rs. In Words: FIVE THOUSAND THREE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 228
--------------------------------------------------------------------------------------------------------------------------| Patient:
KANKUBEN B SUTARIYA
Date:
14-Jun-10
|
|
|
| Address:
HALIYAD TA VALLABHIPUR DIST BVN
Gender:
F
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|

---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 2
|
100.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| A. B. G. COLLECTION
|
300
| 2
|
600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6550.00
|
|
|
| Rs. In Words: SIX THOUSAND FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 229
--------------------------------------------------------------------------------------------------------------------------| Patient:
BOGHABHAI J SOLANKI
Date:
14-Jun-10
|
|
|
| Address:
MITHAPUR TA TALAJA DIST BVN
Gender:
F
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|

|
150

E. C. G.
| 1

|
|

150.00

|
|
|
| BLOOD TRANFUSION
|
300
| 4
|
1200.00 |
|
|
|
|
|
| VISITING DR CHARGES
|
1100
| 2
|
2200.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5000.00
|
|
|
| Rs. In Words: FIVE THOUSAND ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 230
--------------------------------------------------------------------------------------------------------------------------| Patient:
USHABEN K MEHTA
Date:
14-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
46
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| VISITING DR CHARGES
|
1500
| 1
|
1500.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------

|
Notes:
Deposit(-):
|

|
.00 |

|
|
|
Total:

|
4300.00

|
|
| Rs. In Words: FOUR THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665

Bill No.: 231


--------------------------------------------------------------------------------------------------------------------------| Patient:
SHANTABN N CHAUHAN
Date:
15-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| INFUSION PUMP
|
300
| 0.5
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|

|
Total:

|
5050.00

|
|
| Rs. In Words: FIVE THOUSAND AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 232
--------------------------------------------------------------------------------------------------------------------------| Patient:
RATIBHAI K MISTRI
Date:
16-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
65
|

|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 3
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1150.00
|
|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 233
--------------------------------------------------------------------------------------------------------------------------| Patient:
JERAMBHAI L VEGAD
Date:
17-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
63
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|

|
|
450

|
GENERAL ROOM
| 2
|

|
|
900.00

|
|
150

|
|

E. C. G.
| 2

NEBULISER
| 5

|
|
300.00

|
|
50

|
|
|
250.00

|
|
300

|
PULSE OXYMETER
| 2
|

|
|
600.00

|
|
|
| O2 CHARGE/1 HOUR
|
20
| 18
|
360.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2510.00
|
|
|
| Rs. In Words: TWO THOUSAND FIVE HUNDRED AND TEN ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 234
--------------------------------------------------------------------------------------------------------------------------| Patient:
SAPNABEN L HARIYANI
Date:
17-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
22
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|

|
|
Total:

|
1000.00

|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 235
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHANUSHANKAR K PANDYA
Date:
18-Jun-10
|
|
|
| Address:
DIHOR TA TALAJA DIST BVN
Gender:
M
Age:
48
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 236
--------------------------------------------------------------------------------------------------------------------------| Patient:
KANCHANBEN K PATEL
Date:
18-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
55
|
|
|
|
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------Services Rendered
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 2
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1200.00
|
|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 237
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHAGVANBHAI K BARAIYA
Date:
18-Jun-10
|
|
|
| Address:
SARTANPAR TA TALAJA DIST BVN
Gender:
M
Age:
62
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |

|
|
150

|
|

E. C. G.
| 1

BLOOD SUGER
| 1

|
|
150.00

|
|
50
|

|
|
|
50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1850.00
|
|
|
| Rs. In Words: ONE THOUSAND EIGHT HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 238
--------------------------------------------------------------------------------------------------------------------------| Patient:
BELURBEN D RAVAL
Date:
18-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1100.00
|
|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED ONLY/|

--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 239
--------------------------------------------------------------------------------------------------------------------------| Patient:
KALUBEN B SOLANKI
Date:
19-Jun-10
|
|

|
| Address:
Gender:
F
|

BHAVNAGAR
Age:

60

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
475.00
|
|
|
| Rs. In Words: FOUR HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 240
--------------------------------------------------------------------------------------------------------------------------| Patient:
HANSABEN MISTRI
Date:
19-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
55
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
----------------------------------------------------------------------------------------------------------------------------

|
100

ADMISSION CHARGE
| 1
|

|
100.00

|
|
1750

|
|

I. C. U.
| 1

|
|
1750.00

|
|
450

|
GENERAL ROOM
| 1
|

|
|
450.00

|
|
150

|
|

E. C. G.
| 4

BLOOD SUGER
| 8

|
|
600.00

|
|
50
|

|
|
|
400.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3300.00
|
|
|
| Rs. In Words: THREE THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 241
--------------------------------------------------------------------------------------------------------------------------| Patient:
VASHABA VGOHIL
Date:
19-Jun-10
|
|
|
| Address:
BANKCOLONY
Gender:
F
Age:
32
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |

|
|
|
Total:

|
1225.00

|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 242
--------------------------------------------------------------------------------------------------------------------------| Patient:
GANESHBHAI K DANKHRA
Date:
19-Jun-10
|
|
|
| Address:
BELA TA TALAJA DIST BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1650.00
|
|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED AND FIFTY ONLY/|
------------------------------------------------------------------

---------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 243
--------------------------------------------------------------------------------------------------------------------------| Patient:
GAURIBEN VIPULBHAI CHAUHAN
Date:
20-Jun-10
|
|
|
| Address:
SARTANPAR TA TALAJA DIST BHAVNAGAR
Gender:
F
Age:
22
|
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 244
--------------------------------------------------------------------------------------------------------------------------| Patient:
HIMMATBHAI VALABHAI MAKWANA
Date:
20-Jun-10
|
|
|
| Address:
BHADI TA GHOGHA DIST BVN
Gender:
M
Age:
19
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|

|
50
|

BLOOD SUGER
| 3

|
|
150.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
475.00
|
|
|
| Rs. In Words: FOUR HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 245
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHANDUBHAI C SHAL
Date:
22-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
74
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 4
|
200.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| A. B. G. COLLECTION
|
300
| 1
|
300.00 |
|
|
|
|
|

|
300

ENDOTRACHEAL TUBE
| 1
|

|
300.00

|
|
1000

|
|

D. C. SHOCK
| 1

|
|
1000.00

|
|
|
| VISITING DR CHARGES
|
2000
| 1
|
2000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5900.00
|
|
|
| Rs. In Words: FIVE THOUSAND NINE HUNDRED ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 246
--------------------------------------------------------------------------------------------------------------------------| Patient:
ANITABEN J DHANDHALYA
Date:
22-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
25
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 3
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
925.00
|
|
|
| Rs. In Words: NINE HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 247
--------------------------------------------------------------------------------------------------------------------------| Patient:
VINODRAI V UPADHYAY
Date:
22-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
68
|
|

|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 8
|
400.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1100.00
|
|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 248
--------------------------------------------------------------------------------------------------------------------------| Patient:
ASHVINNBHAI G BATHANI
Date:
23-Jun-10
|
|
|
| Address:
MANAR TA+DIS =BHAVCNAGAR
Gender:
M
Age:
22
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |

|
|

|
450

GENERAL ROOM
| 1
|

|
|
450.00

|
|
150
|

|
|

E. C. G.
| 1

|
|
150.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 249
--------------------------------------------------------------------------------------------------------------------------| Patient:
KANABHAI N RATHOD
Date:
23-Jun-10
|
|
|
| Address:
DEVAGNA TA SHIHOR DIS BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 15
|
750.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|

|
|
Total:

|
3850.00

|
|
| Rs. In Words: THREE THOUSAND EIGHT HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665

Bill No.: 250


--------------------------------------------------------------------------------------------------------------------------| Patient:
DEEPAKBHAI BAHAJWNI
Date:
23-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
27
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 5
|
8750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| RBS
|
50
| 1
|
50.00 |
|
|
|
|
|
| VENTILATOR(INVESIVE)
|
2500
| 1
|
2500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
11700.00
|
|
|
| Rs. In Words: ELEVEN THOUSAND SEVEN HUNDRED ONLY/|

--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 251
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAJUBHAI B
Date:
23-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
36
|
|
|
|
|

|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
625.00
|
|
|
| Rs. In Words: SIX HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 252
--------------------------------------------------------------------------------------------------------------------------| Patient:
ABBABHAI A KOTHAYA
Date:
23-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2.5
|
2500.00 |
|
|

|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2600.00
|
|
|
| Rs. In Words: TWO THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 253
--------------------------------------------------------------------------------------------------------------------------| Patient:
TEJUBEN H KAJAVADRA
Date:
23-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
28
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 5
|
2250.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2350.00
|
|
|
| Rs. In Words: TWO THOUSAND THREE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 254
--------------------------------------------------------------------------------------------------------------------------| Patient:
DARSHANABEN D PARMAR
Date:
24-Jun-10
|
|
|
| Address:
BHAVNAGAR

Gender:
|

Age:

50

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 4
|
600.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 15
|
750.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5850.00
|
|
|
| Rs. In Words: FIVE THOUSAND EIGHT HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 255
--------------------------------------------------------------------------------------------------------------------------| Patient:
DARSHANABEN D PARMAR
Date:
24-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| NEBULISER
|
50
| 2
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1400.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 256
--------------------------------------------------------------------------------------------------------------------------| Patient:
KARAMASHIBHAI H YADAV
Date:
24-Jun-10
|
|
|
| Address:
TO VAVADI,TA UMARALA,DIS BHAVNAGAR
Gender:
M
Age:
62
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
-------------------------------------------------------------------

--------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
850.00
|
|
|
| Rs. In Words: EIGHT HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 257
--------------------------------------------------------------------------------------------------------------------------| Patient:
SHARDABEN B KHASIYA
Date:
25-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
32
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
300
| 3
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2800.00
|
|
|
| Rs. In Words: TWO THOUSAND EIGHT HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 258
--------------------------------------------------------------------------------------------------------------------------| Patient:
RANJANBEN D CHAUHAN
Date:
25-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
40
|
|

|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1550.00
|
|
|
| Rs. In Words: ONE THOUSAND FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 259
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAMESHBHAI M MAKAWANA
Date:
26-Jun-10
|
|
|
| Address:
GARIYADHAR
Gender:
M
Age:
37
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|

100

| 1

100.00

|
|
450

|
GENERAL ROOM
| 1
|

|
|
450.00

|
|
150

|
|

E. C. G.
| 2

TMT
| 1

|
|
300.00

|
|
800
|

|
|
|
800.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1650.00
|
|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 260
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHANDRAKANT S PATEL
Date:
26-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
64
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
| ECG
|
150
| 3
|
450.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 9
|
450.00 |
|
|
|
|
|

|
300
|

BLOOD TRANFUSION
| 3
|

|
900.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4900.00
|
|
|
| Rs. In Words: FOUR THOUSAND NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 261
--------------------------------------------------------------------------------------------------------------------------| Patient:
HANSABEN G PATEL
Date:
26-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
51
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 4.5
|
4500.00 |
|
|
|
|
|
| VISITING DR.CHARGE
|
1100
| 4
|
4400.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
9000.00
|
|
|
| Rs. In Words: EIGHT THOUSAND SIX HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 262
--------------------------------------------------------------------------------------------------------------------------| Patient:
AKASHBHAI K YADAV
Date:
27-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
10
|
|

|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 263
--------------------------------------------------------------------------------------------------------------------------| Patient:
MALABEN M RATHOD
Date:
27-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
17
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 264
--------------------------------------------------------------------------------------------------------------------------| Patient:
DHARSINHBHAI DABRUBHAI RAGHANI
Date:
27-Jun-10
|
|
|
| Address:
UMRALA DIST BVN
Gender:
M
Age:
55
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|
|

|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 265
--------------------------------------------------------------------------------------------------------------------------| Patient:
MEHULBHAI P BHATT
Date:
28-Jun-10
|

|
|
| Address:
Gender:
M
|

BHAVNAGAR
Age:

36

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
800.00
|
|
|
| Rs. In Words: EIGHT HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 266
--------------------------------------------------------------------------------------------------------------------------| Patient:
BABUBHAI B JETANI
Date:
28-Jun-10
|
|
|
| Address:
BUDHEL TA DIST BHAVNAGAR
Gender:
M
Age:
62
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 267
--------------------------------------------------------------------------------------------------------------------------| Patient:
AJUBBHAI B CHOPRA
Date:
28-Jun-10
|
|
|
| Address:
RAMPARA TA TALAJA DISR BHAVNAGAR
Gender:
M
Age:
17
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 7
|
3150.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------

|
Notes:
Deposit(-):
|

|
.00 |

|
|
|
Total:

|
3400.00

|
|
| Rs. In Words: THREE THOUSAND FOUR HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 268
--------------------------------------------------------------------------------------------------------------------------| Patient:
ARJANBHAI M TALAVIA
Date:
28-Jun-10
|
|
|
| Address:
PATNA TA GADHDA
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2.5
|
4375.00 |
|
|
|
|
|
| E. C. G.
|
150
| 4
|
600.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| NEBULISER
|
50
| 7
|
350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|

5475.00

|
|
| Rs. In Words: FIVE THOUSAND FOUR HUNDRED AND SEVENTY FIVE ONLY/
|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 269
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHAGVANBHAI G CHAUHAN
Date:
29-Jun-10
|
|
|
| Address:
SAKHVADAR TA TALAJA DIST BHAVNAGAR

Gender:
|

Age:

32

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4050.00
|
|
|
| Rs. In Words: FOUR THOUSAND AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 270
--------------------------------------------------------------------------------------------------------------------------| Patient:
DYABHAI KHODABHAI BARAIYA
Date:
29-Jun-10
|
|
|
| Address:
MATHAVDA TA TALAJA DIST BVN
Gender:
M
Age:
32
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |

|
|

|
450

GENERAL ROOM
| 4
|

|
|
1800.00

|
|
|
| BLOOD TRANFUSION
|
300
| 2
|
600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2500.00
|
|
|
| Rs. In Words: TWO THOUSAND FIVE HUNDRED ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 271
--------------------------------------------------------------------------------------------------------------------------| Patient:
SONIBEN R KANJANI
Date:
29-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
36
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| NEBULISER
|
50
| 6
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:

Deposit(-):
|

|
.00 |

|
|
|
Total:

|
900.00

|
|
| Rs. In Words: NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 272
--------------------------------------------------------------------------------------------------------------------------| Patient:
DHIRUBHAI MAGANBHAI BARAIYA
Date:
29-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2.5
|
4375.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| VISITING DR CHARGES
|
3500
| 1
|
3500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
8425.00
|
|
|
| Rs. In Words: EIGHT THOUSAND FOUR HUNDRED AND TWENTY FIVE ONLY/
|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 273
--------------------------------------------------------------------------------------------------------------------------| Patient:
TANSUKHBHAI M PATEL
Date:
30-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
61
|
|
|
|

|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 4
|
7000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 6
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
8000.00
|
|
|
| Rs. In Words: EIGHT THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 274
--------------------------------------------------------------------------------------------------------------------------| Patient:
NIRMALABEN I CHAVDA
Date:
30-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
59
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |

|
|
1000

|
|

DELUXE ROOM
| 1

E. C. G.
| 1

BLOOD SUGER
| 1

|
|
1000.00

|
|
150

|
|
|
150.00

|
|
50

|
|
50.00

|
|
|
| NURSING CHARGES
|
250
| 3
|
750.00 |
|
|
|
|
|
| VISITING DR CHARGES
|
3900
| 1
|
3900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
9450.00
|
|
|
| Rs. In Words: NINE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 275
--------------------------------------------------------------------------------------------------------------------------| Patient:
LEHRILAL P DODIYA
Date:
30-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
88
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| PLEURAL EFFUSION TAPPING
|
500
| 2
|
1000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|

|
.00 |
|
|
|
Total:

|
2450.00

|
|
| Rs. In Words: TWO THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 276
--------------------------------------------------------------------------------------------------------------------------| Patient:
BABUBHAI K JANI
Date:
01-Jul-10
|
|
|
| Address:
DIHOR TA TALAJA DIST BHAVNAGAR
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 277
--------------------------------------------------------------------------------------------------------------------------| Patient:
AKASHBHAI K YADAV
Date:
01-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
10
|
|
|
|
|
|
|

---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 278
--------------------------------------------------------------------------------------------------------------------------| Patient:
NATHABHAI BARAIYA
Date:
01-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|

|
150

E. C. G.
| 3

cTMT
| 1

|
|
450.00

|
|
800
|

|
|
|
800.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2675.00
|
|
|
| Rs. In Words: TWO THOUSAND ONE HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 279
--------------------------------------------------------------------------------------------------------------------------| Patient:
ISHWARDAN J GADHAVI
Date:
01-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
51
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
975.00
|
|
|
| Rs. In Words: NINE HUNDRED AND SEVENTY FIVE ONLY/|
------------------------------------------------------------------

---------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 280
--------------------------------------------------------------------------------------------------------------------------| Patient:
NEETABEN J BHATT
Date:
02-Jul-10
|
|
|

| Address:
Gender:
F
|

MANAR TA TALAJA DIST BHAVNAGAR


Age:
28
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 281
--------------------------------------------------------------------------------------------------------------------------| Patient:
MADHUBEN A CHAUHAN
Date:
02-Jul-10
|
|
|
| Address:
BHALVAV,TA LATHI DIST AMRELI
Gender:
F
Age:
32
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|

|
|
450
|

|
GENERAL ROOM
| 2
|

|
|
900.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 282
--------------------------------------------------------------------------------------------------------------------------| Patient:
NARESHBHAI B SUTARIA
Date:
02-Jul-10
|
|
|
| Address:
KOBDI TA DIST BHAVNAGAR
Gender:
M
Age:
30
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|

| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|


--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 283
--------------------------------------------------------------------------------------------------------------------------| Patient:
SALMABEN I GYANANI

Date:

02-Jul-10

|
|
| Address:
Gender:
F
|

BHAVNAGAR
Age:

46

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4.5
|
2025.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 40
|
2000.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|
|
|
|
| PULSE OXYMETER
|
300
| 7
|
2100.00 |
|
|
|
|
|
| O2 CHARGE/1 HOUR
|
20
| 146
|
2920.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|

.00 |
|
|
|
Total:

|
12995.00

|
|
| Rs. In Words: TWELVE THOUSAND NINE HUNDRED AND NINETY FIVE ONLY
/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 284
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAMABEN B PUROHIT
Date:
02-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
60
|
|

|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGE
|
850
| 1
|
850.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 285
--------------------------------------------------------------------------------------------------------------------------| Patient:
PRAVINSINH R GOHIL
Date:
03-Jul-10
|
|
|
| Address:
RAJAPARA TA VALLABHIPUR DIST BVN
Gender:
M
Age:
57
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|

|
1000

DELUXE ROOM
| 7

E. C. G.
| 3

BLOOD SUGER
| 38

7000.00

|
|
150

|
|
|
450.00

|
|
50
|

|
|
|
1900.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
9450.00
|
|
|
| Rs. In Words: NINE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 286
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAMABEN S VYAS
Date:
04-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
83
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| CATHETOR
|
100
| 2
|
200.00 |
|
|

|
|
300

|
PULSE OXYMETER
| 1
|

|
|
300.00

|
|
100
|

|
|

RYLES TUBE
| 2

|
|
200.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6450.00
|
|
|
| Rs. In Words: SIX THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 287
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHAVNABEN V PAREKH
Date:
05-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
38
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| O2 CHARGE/1 HOUR
|
20
| 15
|
300.00 |
|
|
|
|
|
| OTHERS
|
1500
| 1
|
1500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|

Total:

|
5500.00

|
|
| Rs. In Words: FIVE THOUSAND FIVE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 288
--------------------------------------------------------------------------------------------------------------------------| Patient:
PRAVINBHAI R GOHIL
Date:
05-Jul-10
|
|

| Address:
Gender:
M
|

|
RAJAPARA(TANA) TA SIHOR DIST BVN
Age:
57
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 7
|
7000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 38
|
1900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
9450.00
|
|
|
| Rs. In Words: NINE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 289
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHANDRAKANTBHAI PATEL
Date:
05-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
64
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|

---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 7
|
350.00 |
|
|
|
|
|
| PULSE OXYMETER
|
300
| 1
|
300.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
300
| 2
|
600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2500.00
|
|
|
| Rs. In Words: TWO THOUSAND FIVE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 290
--------------------------------------------------------------------------------------------------------------------------| Patient:
MEENABEN M BORISAGAR
Date:
05-Jul-10
|
|
|
| Address:
MOTA DEVALIYA
Gender:
F
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------

|
Notes:
Deposit(-):
|

|
.00 |

|
|
|
Total:

|
2100.00

|
|
| Rs. In Words: TWO THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 291
--------------------------------------------------------------------------------------------------------------------------| Patient:
HARESHBHAI G SUTARIYA
Date:
05-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
30
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3800.00
|
|

|
| Rs. In Words: THREE THOUSAND EIGHT HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 292
--------------------------------------------------------------------------------------------------------------------------| Patient:
PAYALBEN P SAHITYA
Date:
06-Jul-10
|
|
|

| Address:
Gender:
F
|

BHAVNAGAR
Age:

14

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
325.00
|
|
|
| Rs. In Words: THREE HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 293
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAYDEVBHAI PATEL
Date:
06-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|

|
|
450
|

|
GENERAL ROOM
| 1
|

|
|
450.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 294
--------------------------------------------------------------------------------------------------------------------------| Patient:
HARDHIMBHAI S SOLANKI
Date:
06-Jul-10
|
|
|
| Address:
PADVA TA GHOGHA DIS BHAVNAGAR
Gender:
M
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|
|
|

| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|


--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 295
--------------------------------------------------------------------------------------------------------------------------| Patient:
VISHALBHAI J MANGUKIYA

Date:

07-Jul-10

|
| Address:
Gender:
M
|

|
DADVA TA UMRALA DIST BVN
Age:
19
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 4
|
7000.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| NEBULISER
|
50
| 25
|
1250.00 |
|
|
|
|
|
| CATHETOR
|
150
| 1
|
150.00 |
|
|
|
|
|
| PULSE OXYMETER
|
350
| 2
|
700.00 |
|
|
|
|
|
| O2 CHARGE/1 HOUR
|
20
| 63
|
1260.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
12460.00
|
|

|
| Rs. In Words: TWELVE THOUSAND FOUR HUNDRED AND SIXTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 296
--------------------------------------------------------------------------------------------------------------------------| Patient:
GHANSHYAMBHAI K GOLETAR
Date:
08-Jul-10
|
|
|
| Address:
PARVALA TA UMRALA DIST BVN
Gender:
M
Age:
21
|
|
|
|
|
|

|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
775.00
|
|
|
| Rs. In Words: SEVEN HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 297
--------------------------------------------------------------------------------------------------------------------------| Patient:
KAILASHBEN N DIHORA
Date:
08-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
34
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |

|
|
50
|

|
|

BLOOD SUGER
| 1

|
|
50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1200.00
|
|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 298
--------------------------------------------------------------------------------------------------------------------------| Patient:
LILABEN N PARMAR
Date:
08-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|

Total:

|
1200.00

|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 299
---------------------------------------------------------------------------------------------------------------------------

|
Date:

Patient:
PARESHBHAI R RATHOD
09-Jul-10

|
| Address:
Gender:
M
|

|
SANOSARA TA SHIHOR DIS BHAVNAGAR
Age:
91
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| INSTRUMENT
|
300
| 1
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2575.00
|
|
|
| Rs. In Words: TWO THOUSAND FIVE HUNDRED AND SEVENTY FIVE ONLY/|

--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 300
--------------------------------------------------------------------------------------------------------------------------| Patient:
MANISHBHAI O ZINZUVADIA
Date:
09-Jul-10
|
|
|
| Address:
ADHWADA
Gender:
M
Age:
40
|
|
|
|
|
|
|

---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
1575.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 52
|
2600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4275.00
|
|
|
| Rs. In Words: FOUR THOUSAND TWO HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 301
--------------------------------------------------------------------------------------------------------------------------| Patient:
RADHABEN G GOHIL
Date:
09-Jul-10
|
|
|
| Address:
PADVA TA GHOGHA DIST BVN
Gender:
F
Age:
58
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| GENERAL ROOM
|

450

| 0.5

E. C. G.
| 2

BLOOD SUGER
| 1

225.00

|
|
150

|
|
|
300.00

|
|
50
|

|
|
|
50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2425.00
|
|
|
| Rs. In Words: TWO THOUSAND FOUR HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 302
--------------------------------------------------------------------------------------------------------------------------| Patient:
LAKHUBEN DEVJIBHAI DANGAR
Date:
10-Jul-10
|
|
|
| Address:
SIHOR
Gender:
F
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| NEBULISER
|
50
| 2
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|

1075.00

|
|
| Rs. In Words: ONE THOUSAND AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 303
---------------------------------------------------------------------------------------------------------------------------

|
Date:

Patient:
PARMANANDBHAI V RUGVANI
10-Jul-10

|
| Address:
Gender:
M
|

|
DHOLA TA UMRALA DIST BVN
Age:
50
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 15
|
750.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4500.00
|
|
|
| Rs. In Words: FOUR THOUSAND FIVE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 304
--------------------------------------------------------------------------------------------------------------------------| Patient:
C J RAVAL
Date:
10-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
64
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|

Fees

Days

Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| VISITING DR CHARGES
|
1050
| 1
|
1050.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2300.00
|
|
|
| Rs. In Words: TWO THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 305
--------------------------------------------------------------------------------------------------------------------------| Patient:
GAMBHIRBHAI S BARAIYA
Date:
10-Jul-10
|
|
|
| Address:
KHOKHRA TA GHOGHA DIST BVN
Gender:
M
Age:
18
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------

|
Notes:
Deposit(-):
|

|
.00 |

|
|
|
Total:

|
1900.00

|
|
| Rs. In Words: ONE THOUSAND NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 306
---------------------------------------------------------------------------------------------------------------------------| Patient:
VASUDEV D PARATEY
Date:
12-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
59
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 300
| 1
|
300.00 |
|
|
|
|
|
| DELUXE ROOM
| 700
| 6
|
4200.00 |
|
|
|
|
|
| E. C. G.
| 150
| 1
|
150.00 |
|
|
|
|
|
| VISITING DR CHARGES
| 4000
| 1
|
4000.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------|
Notes: FOR VISIT DETAILS PL.SEE BACK
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
8650.00
|
|

|
| Rs. In Words: EIGHT THOUSAND SIX HUNDRED AND FIFTY ONLY/|
---------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 307
--------------------------------------------------------------------------------------------------------------------------| Patient:
KISHORBHAI L GOHEL
Date:
10-Jul-10
|
|
|

| Address:
Gender:
F
|

BHAVNAGAR
Age:

37

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 4
|
4000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4100.00
|
|
|
| Rs. In Words: FOUR THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 308
--------------------------------------------------------------------------------------------------------------------------| Patient:
JERAMBHAI J JADAV
Date:
10-Jul-10
|
|
|
| Address:
PATI TA VALLABHIPUR DIST BVN
Gender:
M
Age:
38
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|

|
1750

I. C. U.
| 2

E. C. G.
| 5

|
|
3500.00

|
|
150

|
|
|
750.00

|
|
450

|
GENERAL ROOM
| 2
|

|
|
900.00

|
|
50
|

|
|

BLOOD SUGER
| 1

|
|
50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5300.00
|
|
|
| Rs. In Words: FIVE THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 309
--------------------------------------------------------------------------------------------------------------------------| Patient:
KESHUBHAI RAGHAVBHAI SAVANI
Date:
10-Jul-10
|
|
|
| Address:
UMRALA DIST BVN
Gender:
M
Age:
81
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 6
|
900.00 |
|
|
|
|
|
| BLOOD SUGER
|

50

| 1
|

50.00

|
|
|
| VISITING CONSULTANT CHARGES
|
3250
| 1
|
3250.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
10000.00
|
|
|
| Rs. In Words: TEN THOUSAND ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 310
--------------------------------------------------------------------------------------------------------------------------| Patient:
KUSUMBEN M PARAMAR
Date:
10-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| ENEMA
|
100
| 2
|
200.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|

Total:

|
1400.00

|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 311
--------------------------------------------------------------------------------------------------------------------------| Patient:
RUPABHAI K PARAMAR
Date:
10-Jul-10
|
|

|
| Address:
Gender:
M
|

BHAVNAGAR
Age:

35

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 312
--------------------------------------------------------------------------------------------------------------------------| Patient:
VALABHAI MISTRI
Date:
11-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
54
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |

|
|

|
450

GENERAL ROOM
| 1
|

|
|
450.00

|
|
150

|
|

E. C. G.
| 1

BLOOD SUGER
| 1

|
|
150.00

|
|
50
|

|
|
|
50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
750.00
|
|
|
| Rs. In Words: SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 313
--------------------------------------------------------------------------------------------------------------------------| Patient:
VALLBHABHAI PARAMAR
Date:
11-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
-------------------------------------------------------------------

--------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
750.00
|
|
|
| Rs. In Words: SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 314
--------------------------------------------------------------------------------------------------------------------------| Patient:
GOVINBHAI B LIVA
Date:
11-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 10
|
500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2200.00
|

|
|
| Rs. In Words: TWO THOUSAND TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 315
--------------------------------------------------------------------------------------------------------------------------| Patient:
GODIBEN BHUT
Date:
11-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
65
|

|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 316
--------------------------------------------------------------------------------------------------------------------------| Patient:
GOVINBHAI B BUAT
Date:
11-Jul-10
|
|
|
| Address:
UKHLA TAGHOGHA DIS BHAVNGAR
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|

|
|
450

|
GENERAL ROOM
| 1
|

|
|
450.00

|
|
150
|

|
|

E. C. G.
| 1

|
|
150.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 317
--------------------------------------------------------------------------------------------------------------------------| Patient:
PRTIKBHAI R PARMAR
Date:
12-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
17
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 4.5
|
4500.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| VISITING DR.CHARGE
|
1100
| 6
|
6600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|

|
.00 |
|
|
|
Total:

|
12100.00

|
|
| Rs. In Words: TWELVE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU

0278-2429665
Bill No.: 318
--------------------------------------------------------------------------------------------------------------------------| Patient:
SAMAJUBEN S KANTALIYA
Date:
12-Jul-10
|
|
|
| Address:
TO.HATHAB TA.GHOGHA,DIS BHAVNAGAR
Gender:
F
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| NEBULISER
|
50
| 9
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2450.00
|
|
|
| Rs. In Words: TWO THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 319
--------------------------------------------------------------------------------------------------------------------------| Patient:
SAVJIBHAI N BARAIYA
Date:
12-Jul-10
|
|
|
| Address:
PAVATHI TA TALAJA DIST BVN
Gender:
M
Age:
45
|
|
|
|
|

|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
| NEBULISER
|
50
| 2
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
425.00
|
|
|
| Rs. In Words: FOUR HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 320
--------------------------------------------------------------------------------------------------------------------------| Patient:
LAXMANBHAI J BORDA
Date:
12-Jul-10
|
|
|
| Address:
SAKDASAR TA SIHOR
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|

|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 321
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAGHAVBHAI G CHUHAN
Date:
13-Jul-10
|
|
|
| Address:
VALUKAD,BVN
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|

|
1500.00

|
|
| Rs. In Words: ONE THOUSAND FIVE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 322
--------------------------------------------------------------------------------------------------------------------------| Patient:
GETABEN V ROY

Date:

13-Jul-10

|
| Address:
Gender:
F
|

|
BELA TA TALAJA DIST BHAVNAGAR
Age:
42
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2.5
|
2500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2750.00
|
|
|
| Rs. In Words: TWO THOUSAND SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 323
--------------------------------------------------------------------------------------------------------------------------| Patient:
SHAILESHBHAI P SHUKLA
Date:
13-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|

---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1.5
|
2625.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3225.00
|
|
|
| Rs. In Words: THREE THOUSAND TWO HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 324
--------------------------------------------------------------------------------------------------------------------------| Patient:
NANUBHAI S BARAIYA
Date:
13-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
61
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 4.5
|
7875.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|

150

| 5

BLOOD SUGER
| 1

NEBULISER
| 34

750.00

|
|
50

|
|
|
50.00

|
|
50
|

|
|
|
1700.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
11375.00
|
|
|
| Rs. In Words: ELEVEN THOUSAND THREE HUNDRED AND SEVENTY FIVE ON
LY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 325
--------------------------------------------------------------------------------------------------------------------------| Patient:
VINUBEN D HADIYA
Date:
14-Jul-10
|
|
|
| Address:
VELAVADAR TA TALAJA DIST BVN
Gender:
F
Age:
58
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|

Total:

|
2050.00

|
|
| Rs. In Words: TWO THOUSAND AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 326
---------------------------------------------------------------------------------------------------------------------------

|
Date:

Patient:
VARSHABEN J CHUHAN
14-Jul-10

|
| Address:
Gender:
F
|

|
TATHAVAD TA TALAJA DIST BVN
Age:
16
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2050.00
|
|
|
| Rs. In Words: TWO THOUSAND AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 327
--------------------------------------------------------------------------------------------------------------------------| Patient:
ANJUBEN VALJIBHAI SANGANI
Date:
14-Jul-10
|
|
|
| Address:
HAMIPARA TA TALAJA DIST BVN
Gender:
F
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|

Fees

Days

Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 328
--------------------------------------------------------------------------------------------------------------------------| Patient:
ABHAYSINH A RANA
Date:
14-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
52
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |

|
|
|
Total:

|
550.00

|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 329
--------------------------------------------------------------------------------------------------------------------------| Patient:
SONALBEN DHOLAKIYA
Date:
14-Jul-10
|
|
|
| Address:
LIMDA,TA UMRALA DIST BVN
Gender:
F
Age:
23
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2300.00
|
|
|
| Rs. In Words: TWO THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 330
--------------------------------------------------------------------------------------------------------------------------| Patient:
VALABHAI B PARMAR
Date:
15-Jul-10
|
|
|
| Address:
BELA TA TALAJA DIST BHAVNAGAR
Gender:
M
Age:
55
|
|
|
|
|

|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 3
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2350.00
|
|
|
| Rs. In Words: TWO THOUSAND THREE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 331
--------------------------------------------------------------------------------------------------------------------------| Patient:
TEJUBEN DABHI
Date:
15-Jul-10
|
|
|
| Address:
MOTA KHOKHRA TA TALAJA DIST BVN
Gender:
F
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|

450

| 4
|

1800.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1900.00
|
|
|
| Rs. In Words: ONE THOUSAND NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 332
--------------------------------------------------------------------------------------------------------------------------| Patient:
DHARAMSHIBHYAI S SALAI
Date:
15-Jul-10
|
|
|
| Address:
GUNDIKERIYA TA GHOGHA DIST BVN
Gender:
M
Age:
30
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|

|
Total:

|
1200.00

|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 333
-------------------------------------------------------------------

--------------------------------------------------------| Patient:
JERAMBHAI J JADAV
Date:
15-Jul-10
|
|
|
| Address:
PATI TA VALLABHIPUR DIST BVN
Gender:
M
Age:
44
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 334
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHANDRABA GOHIL
Date:
15-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 335
--------------------------------------------------------------------------------------------------------------------------| Patient:
HANSA BEN A PATEL
Date:
16-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
52
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 7
|
7000.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| NEBULISER
|

50

| 20
|

1000.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
8150.00
|
|
|
| Rs. In Words: EIGHT THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 336
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAYDEVBHAI D. SHUKL
Date:
16-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
84
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 18
|
900.00 |
|
|
|
|
|
| VI
|
30
| 30
|
900 |
|
|
|
|
|
| IM
|
50
| 12
|
600 |
|
|
|
|
|

|
350

VISITIING
| 4

|
|

1400.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6550.00
|
|
|
| Rs. In Words: SIX THOUSAND FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665

Bill No.: 337


--------------------------------------------------------------------------------------------------------------------------| Patient:
BHAVESHBHAI BATIYA
Date:
16-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
25
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
| PLEURAL EFFUSION TAPPING
|
500
| 1
|
500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2400.00
|
|
|
| Rs. In Words: TWO THOUSAND FOUR HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 338
--------------------------------------------------------------------------------------------------------------------------| Patient:
KANABHAI A CHOPRA
Date:
16-Jul-10
|
|
|
| Address:
RAMPARA TA TALAJA DIST BVN
Gender:
M
Age:
18
|
|
|
|
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------Services Rendered
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1.5
|
2625.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
300
| 2
|
600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4450.00
|
|
|
| Rs. In Words: FOUR THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 339
--------------------------------------------------------------------------------------------------------------------------| Patient:
MUKESHBHAI B DAVE
Date:
17-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
47
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|

|
50

BLOOD SUGER
| 1

D. C. SHOCK
| 1

50.00

|
|
1000

|
|
|
1000.00

|
|
300
|

|
PULSE OXYMETER
| 1
|

|
|
300.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2325.00
|
|
|
| Rs. In Words: TWO THOUSAND THREE HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 340
--------------------------------------------------------------------------------------------------------------------------| Patient:
SAJUBHA JITUBHA JADEJA
Date:
17-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
54
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|

|
1250.00

|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 341
-------------------------------------------------------------------

---------------------------------------------------------| Patient:
CHINTANBEN D BHATT
Date:
17-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
38
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 100
| 1
|
100.00 |
|
|
|
|
|
| ROOM CHARGES
| 300
| 4
|
1200.00 |
|
|
|
|
|
| NURSING CHARGES
| 300
| 4
|
1200.00 |
|
|
|
|
|
| MEDICAL OFFICER CHARGES
| 300
| 4
|
1200.00 |
|
|
|
|
|
| VISITING DR CHARGES
| 600
| 4
|
2400.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------|
Notes: VIRAL FEVER
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6100.00
|
|
|
| Rs. In Words: SIX THOUSAND ONE HUNDRED ONLY/|
---------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 342
--------------------------------------------------------------------------------------------------------------------------| Patient:
SONDABHAI V SENTA
Date:
17-Jul-10
|
|
|
| Address:
VALUKAD TA GHOGHA DIST BVN
Gender:
M
Age:
22
|
|
|
|
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------Services Rendered
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2300.00
|
|
|
| Rs. In Words: TWO THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 343
--------------------------------------------------------------------------------------------------------------------------| Patient:
NARANBHAI B SOLANKI
Date:
17-Jul-10
|
|
|
| Address:
DADVA TA UMRALA DIST BVN
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 7
|
12250.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 5
|
5000.00 |

|
|
150

|
|

E. C. G.
| 2

NEBULISER
| 100

|
|
300.00

|
|
50

|
|
|
5000.00

|
|
300

|
PULSE OXYMETER
| 4
|

|
|
1200.00

|
|
|
| O2 CHARGE/1 HOUR
|
20
| 145
|
2900.00 |
|
|
|
|
|
| A. B. G. COLLECTION
|
300
| 2
|
600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
27350.00
|
|
|
| Rs. In Words: TWENTY SEVEN THOUSAND THREE HUNDRED AND FIFTY ONL
Y/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 344
--------------------------------------------------------------------------------------------------------------------------| Patient:
SAMUBEN N NAVADIYA
Date:
18-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |

|
|
|
Total:

|
600.00

|
|
| Rs. In Words: SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU

0278-2429665
Bill No.: 345
--------------------------------------------------------------------------------------------------------------------------| Patient:
BEENABEN J SHAH
Date:
18-Jul-10
|
|
|
| Address:
AHMEDABAD
Gender:
F
Age:
54
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| NEBULISER
|
50
| 1
|
50.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGES
|
500
| 1
|
500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2700.00
|
|
|
| Rs. In Words: TWO THOUSAND SEVEN HUNDRED ONLY/-

|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 346
--------------------------------------------------------------------------------------------------------------------------| Patient:
PRABHABEN M UKANI
Date:
18-Jul-10
|
|
|
| Address:
LUVARA TA GARIADHAR DIST BVN
Gender:
F
Age:
42
|
|
|
|

|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1500.00
|
|
|
| Rs. In Words: ONE THOUSAND FIVE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 347
--------------------------------------------------------------------------------------------------------------------------| Patient:
KAUSHIKBHAI B UKANI
Date:
18-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
42
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |

|
|

|
450

GENERAL ROOM
| 1
|

|
|
450.00

|
|
50

|
|

BLOOD SUGER
| 1

|
|
50.00

|
|
|
| VISITING CONSULTANT CHARGES
|
2550
| 1
|
2550.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6650.00
|
|
|
| Rs. In Words: SIX THOUSAND SIX HUNDRED AND FIFTY ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 348
--------------------------------------------------------------------------------------------------------------------------| Patient:
MANSUKHBHAI B UKANI
Date:
18-Jul-10
|
|
|
| Address:
LUVARA TA GARIADHAR DIST BVN
Gender:
M
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|

|
Total:

|
1275.00

|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 349

--------------------------------------------------------------------------------------------------------------------------| Patient:
PARULBEN R JOGADIYA
Date:
19-Jul-10
|
|
|
| Address:
GUNDA(KOLIYAK) TA GHOGHA DIST BVN
Gender:
F
Age:
17
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 350
--------------------------------------------------------------------------------------------------------------------------| Patient:
BATUKBHAI N SARVAIYA
Date:
19-Jul-10
|
|
|
| Address:
PALITANA BVN
Gender:
M
Age:
72
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 21
|
1050.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3150.00
|
|
|
| Rs. In Words: THREE THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 351
--------------------------------------------------------------------------------------------------------------------------| Patient:
HAMIRBHAI RANUBHAI VALA
Date:
19-Jul-10
|
|
|
| Address:
BILDI TA MAHUVA DIST BVN
Gender:
M
Age:
55
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
| E. C. G.
|

150

| 2

BLOOD SUGER
| 1

300.00

|
|
50
|

|
|
|
50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1625.00
|
|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 352
--------------------------------------------------------------------------------------------------------------------------| Patient:
SHANTUBEN S MER
Date:
20-Jul-10
|
|
|
| Address:
HASTGITRI TA PALITANA DIST BVN
Gender:
F
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 6
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|

4350.00

|
|
| Rs. In Words: FOUR THOUSAND THREE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 353
--------------------------------------------------------------------------------------------------------------------------| Patient:
HITESHBHAI B CHAUHAN
Date:
20-Jul-10
|

|
|
| Address:
Gender:
M
|

VAVDI TA DIST BVN


Age:
13

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 354
--------------------------------------------------------------------------------------------------------------------------| Patient:
DIPIKABEN D BHUT
Date:
21-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
37
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|

100

| 1

100.00

|
|
450
|

|
GENERAL ROOM
| 1.5
|

|
|
675.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
775.00
|
|
|
| Rs. In Words: SEVEN HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 355
--------------------------------------------------------------------------------------------------------------------------| Patient:
BABUBHAI S CHAUHAN
Date:
21-Jul-10
|
|
|
| Address:
RAJAPARA
Gender:
M
Age:
27
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|

|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 356
-------------------------------------------------------------------

--------------------------------------------------------| Patient:
LAXMANBHAI N MORADIYA
Date:
22-Jul-10
|
|
|
| Address:
ANIDA TA GHOGHA DIST BVN
Gender:
M
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1900.00
|
|
|
| Rs. In Words: ONE THOUSAND NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 357
--------------------------------------------------------------------------------------------------------------------------| Patient:
MERUBHAI K GOHIL
Date:
22-Jul-10
|
|
|
| Address:
ODARKA TA GHOGHA DIST BVN
Gender:
M
Age:
85
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|

---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1300.00
|
|
|
| Rs. In Words: ONE THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 358
--------------------------------------------------------------------------------------------------------------------------| Patient:
MAYABEN K KUKDEJA
Date:
22-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
52
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 5
|
2250.00 |
|
|
|
|
|
| E. C. G.
|
150
| 4
|
600.00 |
|
|

|
50

BLOOD SUGER
| 1

CATHETOR
| 1

|
|
50.00

|
|
100
|

|
|
|
100.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6600.00
|
|
|
| Rs. In Words: SIX THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 359
--------------------------------------------------------------------------------------------------------------------------| Patient:
MEERABEN M BORISAGAR
Date:
27-Jul-10
|
|
|
| Address:
MOTA DEVALIYA
Gender:
F
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
750.00
|
|
|
| Rs. In Words: SEVEN HUNDRED AND FIFTY ONLY/-

|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 360
--------------------------------------------------------------------------------------------------------------------------| Patient:
JANAKBA F JADEJA
Date:
27-Jul-10
|
|
|

| Address:
Gender:
F
|

BHAVNAGAR
Age:

67

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
100.00
|
|
|
| Rs. In Words: ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 361
---------------------------------------------------------------------------------------------------------------------------| Patient:
SHARDABEN B LATHIYA
Date:
29-Jul-10
|
|
|
| Address:
MANDVA TA DIHOR DIST BVN
Gender:
F
Age:
55
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM

| 450

| 1.5

|
NEBULISER
| 6

|
BLOOD SUGER
| 7

675.00

|
|
|
| 50

|
300.00

|
|
|
| 50

|
350.00

|
|

|
|
|
---------------------------------------------------------------------------------------------------------------------------|
Notes: BR ASTHMA,DM
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1425.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND TWENTY FIVE ONLY/|
---------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 362
--------------------------------------------------------------------------------------------------------------------------| Patient:
GIJUBEN C PANDIYA
Date:
30-Jul-10
|
|
|
| Address:
HAUKAD TA TALAJA DIS BHAVNAGAR
Gender:
F
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 6
|
300.00 |
|
|
|
|
|

--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2350.00
|
|
|
| Rs. In Words: TWO THOUSAND THREE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 363
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAJUBHAI KHIMAJIBHAI BARAIYA
Date:
30-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1.5
|
2625.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3400.00
|
|
|
| Rs. In Words: THREE THOUSAND FOUR HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 364
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHIMAJIBHAI BHAVANBHAI
Date:
30-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
64
|
|
|
|
|
|

|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
4000.00 |
|
|
|
Total:
|
|
-1825.00
|
|
|
| Rs. In Words: -HUNDRED BILLION ONE HUNDRED AND EIGHTY TWO ONLY/
|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 365
--------------------------------------------------------------------------------------------------------------------------| Patient:
HEMANTSINH
Date:
30-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
21
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|

450

| 2

NEBULISER
| 8

900.00

|
|
50

|
|
400.00

|
|
|
| VISITING CONSULTANT CHARGES
|
350
| 3
|
1050.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2450.00
|
|
|
| Rs. In Words: TWO THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 366
--------------------------------------------------------------------------------------------------------------------------| Patient:
LABHUBEN K NAKARANI
Date:
30-Jul-10
|
|
|
| Address:
UNCHADI TA TALAJA DITST BVN
Gender:
F
Age:
62
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2.5
|
4375.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 11
|
550.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|

|
5000.00 |
|
|
|
Total:

|
475.00

|
|
| Rs. In Words: FOUR HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU

0278-2429665
Bill No.: 367
--------------------------------------------------------------------------------------------------------------------------| Patient:
RABUBEN J KALDORIYA
Date:
30-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| NURSING CHARGES
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
200.00
|
|
|
| Rs. In Words: TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 368
--------------------------------------------------------------------------------------------------------------------------| Patient:
MANJUBEN MAKODBHAI BALAR
Date:
31-Jul-10
|
|
|
| Address:
BAPADA TA TALAJA DIST BVN
Gender:
F
Age:
35
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------

Fees

Services Rendered
Days
|

|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGES
|
1500
| 1
|
1500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
2500.00 |
|
|
|
Total:
|
|
-350.00
|
|
|
| Rs. In Words: -HUNDRED BILLION AND THIRTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 369
--------------------------------------------------------------------------------------------------------------------------| Patient:
AMRUTBEN NATUBHAI SACHAPARA
Date:
31-Jul-10
|
|
|
| Address:
BUDHEL TA DIST BHAVNAGAR
Gender:
F
Age:
48
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|

|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
2000.00 |
|
|
|
Total:
|
|
-850.00
|
|
|
| Rs. In Words: -HUNDRED BILLION AND EIGHTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 370
--------------------------------------------------------------------------------------------------------------------------| Patient:
KASHIBEN NAGJIBHAI GOHIL
Date:
31-Jul-10
|
|
|
| Address:
CHITRA BHAVNAGAR
Gender:
F
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 13
|
650.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
8000.00 |
|
|

|
Total:

|
-2250.00

|
|
| Rs. In Words: -HUNDRED BILLION TWO HUNDRED AND TWENTY FIVE ONLY
/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 371
--------------------------------------------------------------------------------------------------------------------------| Patient:
KHATUBEN ALIBHAI SHEKH
Date:
31-Jul-10
|

|
| Address:
Gender:
F
|

|
VADVA NR KHACHAR VADI,BHAVNAGAR
Age:
100
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 6
|
6000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
1450.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 372
--------------------------------------------------------------------------------------------------------------------------| Patient:
MADHUBEN J JANI
Date:
31-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1225.00
|
|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 373
--------------------------------------------------------------------------------------------------------------------------| Patient:
MANJUBEN VALLABHBHAI RATHOD
Date:
01-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4.5
|
2025.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| VISITING DR CHARGES
|
4325
| 1
|
4325.00 |
|
|

|
50
|

BLOOD SUGER
| 1

|
|
50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6650.00
|
|
|
| Rs. In Words: SIX THOUSAND SIX HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 374
--------------------------------------------------------------------------------------------------------------------------| Patient:
HIRABHAI VASHRAMBHAI DHANANI
Date:
01-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
56
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
600.00
|
|
|
| Rs. In Words: SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 375
--------------------------------------------------------------------------------------------------------------------------| Patient:
SANJAYBHAI N MAKAVANA
Date:
02-Aug-10
|
|
|
| Address:
JAFARABAD TA JAFARABAD DIS BHAVNAGAR
Gender:
M
Age:
20
|
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 8
|
400.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
1100.00
|
|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 376
--------------------------------------------------------------------------------------------------------------------------| Patient:
AABEDABEN B KURASHI
Date:
02-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
58
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
----------------------------------------------------------------------------------------------------------------------------

|
100

ADMISSION CHARGE
| 1
|

|
100.00

|
|
1750

|
|

I. C. U.
| 1

E. C. G.
| 1

BLOOD SUGER
| 1

|
|
1750.00

|
|
150

|
|
|
150.00

|
|
50
|

|
|
|
50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
-2950.00
|
|
|
| Rs. In Words: -HUNDRED BILLION TWO HUNDRED AND NINETY FIVE ONLY
/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 377
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHETANBHAI R LIMBADIYA
Date:
02-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
25
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:

Deposit(-):
|

|
.00 |

|
|
|
Total:

|
1050.00

|
|
| Rs. In Words: ONE THOUSAND AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 378
--------------------------------------------------------------------------------------------------------------------------| Patient:
ANJUBEN DAYABHAI VASANI
Date:
02-Aug-10
|
|
|
| Address:
BUDHEL TA DIST BVN
Gender:
F
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 2
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
2000.00 |
|
|
|
Total:
|
|
1000.00
|

|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 379
--------------------------------------------------------------------------------------------------------------------------| Patient:
AMRTBEN SACHAPAR
Date:
02-Aug-10
|
|
|
| Address:
BUDHEL TA BHAVNAGAR DIS BHAVNAGAR
Gender:
F
Age:
68
|

|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 380
--------------------------------------------------------------------------------------------------------------------------| Patient:
PRABHATBHAI K MAKWANA
Date:
03-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
49
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|

450

| 2.5

BLOOD SUGER
| 18

1125.00

|
|
50
|

|
|
|
900.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
3000.00 |
|
|
|
Total:
|
|
-875.00
|
|
|
| Rs. In Words: -HUNDRED BILLION AND EIGHTY SEVEN ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 381
--------------------------------------------------------------------------------------------------------------------------| Patient:
HASUMATIBEN HASMUKHBHAI SANGHVI
Date:
03-Aug-10
|
|
|
| Address:
B 102,GREEN AGES,ROYAL COMPLEX,BORIVALI W MUMBAI
Gender:
F
Age:
58
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| VISITING DR CHARGES
|
2300
| 1
|
2300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |

|
|
|
Total:

|
550.00

|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 382

--------------------------------------------------------------------------------------------------------------------------| Patient:
HASUMATIBEN HASMUKHBHAI SANGHVI
Date:
03-Aug-10
|
|
|
| Address:
B 102,GREEN AGES,ROYAL COMPLEX,BORIVALI W MUMBAI
Gender:
F
Age:
58
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| DR CHARSG
|
2300
| 1
|
2300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 383
--------------------------------------------------------------------------------------------------------------------------| Patient:
AMRUTRY BHAKTIDAS BHADIYADRA
Date:
04-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
69
|
|
|
|
|
|
|

---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| P.K BANSAL
|
350
| 4
|
1400.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
-2600.00
|
|
|
| Rs. In Words: -HUNDRED BILLION TWO HUNDRED AND SIXTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 384
--------------------------------------------------------------------------------------------------------------------------| Patient:
ANISHBHAI HAMIRBHAI CHARANIYA
Date:
04-Aug-10
|
|
|
| Address:
TALAJA DIST BVN
Gender:
M
Age:
21
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
| BLOOD SUGER
|

50

| 1
|

50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1275.00
|
|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 385
--------------------------------------------------------------------------------------------------------------------------| Patient:
SUSHILABEN JITEWSHBHAI PITALIYA
Date:
04-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
37
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 5
|
250.00 |
|
|
|
|
|
| DR P.L SACHPARA
|
350
| 8
|
2800.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------

|
Notes:
Deposit(-):
|

|
5000.00 |

|
|
|
Total:

|
1250.00

|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 386

--------------------------------------------------------------------------------------------------------------------------| Patient:
DHARMENDRABHAI HARIBHAI SOLANKI
Date:
04-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| DOCTOR
|
350
| 1
|
350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1800.00
|
|
|
| Rs. In Words: ONE THOUSAND EIGHT HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 387
--------------------------------------------------------------------------------------------------------------------------| Patient:
HANSHABEN K PADIYA
Date:
05-Aug-10
|
|
|
| Address:
VAVDI TA GHOGHA DIS BHAVNAGAR
Gender:
F
Age:
32
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|

Fees

Days

Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1150.00
|
|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 388
--------------------------------------------------------------------------------------------------------------------------| Patient:
NIRUBHAI K GOHIL
Date:
05-Aug-10
|
|
|
| Address:
MALPAR TA GHOGHA DIS BHAVNAGAR
Gender:
M
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ISOLATION ROOM
|
1750
| 0.1
|
175.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|

--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
575.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 389
---------------------------------------------------------------------------------------------------------------------------| Patient:
MINOLI NITINKUMAR JANI
Date:
05-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
14
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
| 1000
| 2
|
2000.00 |
|
|
|
|
|
| MEDICAL OFFICER CHARGES
| 500
| 2
|
1000.00 |
|
|
|
|
|
| NURSING CHARGES
| 350
| 2
|
700.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGES
| 2850
| 1
|
2850.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------|
Notes: STOMATITIS,GASTRITIS, PHARYNGITIS ESOPHAGITIS
Deposit(-):
|
|
.00 |
|
|
|

Total:

|
6650.00

|
|
| Rs. In Words: SIX THOUSAND SIX HUNDRED AND FIFTY ONLY/|
---------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 390
--------------------------------------------------------------------------------------------------------------------------| Patient:
JERAMBHAI M ITAQLIYA
Date:
05-Aug-10
|
|

| Address:
Gender:
M
|

|
MANAR TATALAJA DIS BHAVNAGAR
Age:
70
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 391
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAMDEVSINH D GOHIL
Date:
05-Aug-10
|
|
|
| Address:
SANOSARA TA SIHOR DIST BVN
Gender:
M
Age:
33
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
----------------------------------------------------------------------------------------------------------------------------

|
100

ADMISSION CHARGE
| 1
|

|
100.00

|
|
1000
|

|
|

DELUXE ROOM
| 2

|
|
2000.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
-2900.00
|
|
|
| Rs. In Words: -HUNDRED BILLION TWO HUNDRED AND NINETY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 392
--------------------------------------------------------------------------------------------------------------------------| Patient:
SANTAKBEA V PARMAR
Date:
05-Aug-10
|
|
|
| Address:
BAPALA TA TALAJA DIS BHAVNAGAR
Gender:
F
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| VISITING DR CHARGES
|
1100
| 1
|
1100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|

|
|
Total:

|
1650.00

|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665

Bill No.: 393


--------------------------------------------------------------------------------------------------------------------------| Patient:
GIDHARBHAI B CHAUHAN BOGHABHAI
Date:
05-Aug-10
|
|
|
| Address:
VAVDI TA BHAVNAGAR DIS BHAVNAGAR
Gender:
M
Age:
17
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 394
--------------------------------------------------------------------------------------------------------------------------| Patient:
DHUMITBHAI LABHUBHAA
Date:
05-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
18
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|

Fees

Days

Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 395
--------------------------------------------------------------------------------------------------------------------------| Patient:
HARAJIBHAI R DABHI
Date:
05-Aug-10
|
|
|
| Address:
KEYEDI TA BABRA DIS AMARELI
Gender:
M
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| DR;DOCATR
|
350
| 6
|
2100.00 |

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3400.00
|
|
|
| Rs. In Words: THREE THOUSAND FOUR HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 396
--------------------------------------------------------------------------------------------------------------------------| Patient:
JIVABHAI KARSHANBHAI SOLANKI
Date:
06-Aug-10
|
|
|
| Address:
TARASARA, TA TALAJA DIST BVN
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
------------------------------------------------------------------

---------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 397
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHAIKHABHAI R LATHIYA
Date:
06-Aug-10
|
|
|
| Address:
CHIRADA TA GADHDA DISBHAVNAGAR
Gender:
M
Age:
62
|

|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 398
---------------------------------------------------------------------------------------------------------------------------| Patient:
REKHABEN KAMALKUMAR GANDHI
Date:
06-Aug-10
|
|
|
| Address:
2056/B, SANSKAR MANDAL BVN
Gender:
F
Age:
45
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM

| 1000

| 1

1000.00

|
|
|
| 350

|
|
VISITING DR CHARGES
| 3
|

|
1050.00

|
|

|
|
|
---------------------------------------------------------------------------------------------------------------------------|
Notes: AGE
Deposit(-):
|
|
3000.00 |
|
|
|
Total:
|
|
-850.00
|
|
|
| Rs. In Words: -HUNDRED BILLION AND EIGHTY FIVE ONLY/|
---------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 399
--------------------------------------------------------------------------------------------------------------------------| Patient:
HAVRITBHAI DHJIBHAI KHSIYA
Date:
07-Aug-10
|
|
|
| Address:
SOSIYA TA TALAJA DIS BHAVNAGAR
Gender:
M
Age:
13
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|

| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|


--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 400
--------------------------------------------------------------------------------------------------------------------------| Patient:
JASUBHAI VYAS

Date:

07-Aug-10

|
|
| Address:
Gender:
M
|

KALANALA
Age:

80

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
2000
| 9
|
18000.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGES
|
800
| 10
|
8000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
10000.00 |
|
|
|
Total:
|
|
17250.00
|
|
|
| Rs. In Words: SEVENTEEN THOUSAND TWO HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 401
--------------------------------------------------------------------------------------------------------------------------| Patient:
HASAMUKHBHAI H JALELA
Date:
07-Aug-10
|
|
|
| Address:
CHUDI TA TALAJA DIS BHAVNAGAR
Gender:
M
Age:
23
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|

Fees

Days

Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
300
| 2
|
600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1600.00
|
|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 402
--------------------------------------------------------------------------------------------------------------------------| Patient:
SAMAJIBHAI B KASHODRIYA
Date:
07-Aug-10
|
|
|
| Address:
MONAPUR TA VALBHIPUR DIS BHAVNAGAR
Gender:
M
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| E. C. G.
|
150
| 7
|
1050.00 |
|
|
|
|
|

|
50

BLOOD SUGER
| 14

700.00

|
|
450
|

|
GENERAL ROOM
| 1
|

|
|
450.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
2550.00
|
|
|
| Rs. In Words: TWO THOUSAND FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 403
--------------------------------------------------------------------------------------------------------------------------| Patient:
MAVJIBHAI K SAVANI
Date:
07-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
2000
| 2
|
4000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| MEDICAL OFFICER CHARGES
|
500
| 2
|
1000.00 |
|
|
|
|
|
| NURSING CHARGES
|
300
| 2
|
600.00 |
|
|
|
|
|
| INSTRUMENT
|
300
| 1.5
|
450.00 |

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6650.00
|
|
|
| Rs. In Words: SIX THOUSAND SIX HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665

Bill No.: 404


--------------------------------------------------------------------------------------------------------------------------| Patient:
RAGHVIRSHIH HEMTASHIH GOHIL
Date:
07-Aug-10
|
|
|
| Address:
ODARKA TA GHOGHA DIS BHAVNAGAR
Gender:
M
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGES
|
850
| 2
|
1700.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
-2300.00
|
|
|
| Rs. In Words: -HUNDRED BILLION TWO HUNDRED AND THIRTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 405
--------------------------------------------------------------------------------------------------------------------------| Patient:
HETALBEN KISHORBHAI PARMAR
Date:
07-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
32
|
|
|
|
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------Services Rendered
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
375.00
|
|
|
| Rs. In Words: THREE HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 406
--------------------------------------------------------------------------------------------------------------------------| Patient:
LABHASHNKAR B JANI
Date:
08-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
74
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |

|
|
50

|
|

BLOOD SUGER
| 6

|
|
300.00

|
|
|
| VISITING CONSULTANT CHARGES
|
1200
| 3
|
3600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
9700.00
|
|
|
| Rs. In Words: NINE THOUSAND SEVEN HUNDRED ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 407
---------------------------------------------------------------------------------------------------------------------------| Patient:
GIRISHBHAI MALABHAI MARU
Date:
08-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
25
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
| 450
| 2
|
900.00 |
|
|
|
|
|
| VISITING CONSUL TANT CHARGES
| 1100
| 2
|
2200.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------|
Notes: EPIDIDYMORCHITIS WITH EARLY SEPTICAEMIA
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3000.00
|

|
|
| Rs. In Words: THREE THOUSAND ONLY/|
---------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 408
--------------------------------------------------------------------------------------------------------------------------| Patient:
DAVALBHAI D SONANI

Date:

08-Aug-10

|
|
| Address:
Gender:
M
|

BHAVNAGAR
Age:

17

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 4
|
4000.00 |
|
|
|
|
|
| PCV
|
150
| 4
|
600.00 |
|
|
|
|
|
| VISITING DR CHARGES
|
4400
| 1
|
4400.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
4100.00
|
|
|
| Rs. In Words: FOUR THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 409
---------------------------------------------------------------------------------------------------------------------------| Patient:
BHAIKHABHAI R LATHIYA
Date:
08-Aug-10
|
|
|
| Address:
CHIRADA TA GADHDA DISBHAVNAGAR
Gender:
M
Age:
62
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
| 2000
| 3.5
|
7000.00 |
|
|
|
|
|
| E. C. G.
| 150
| 5
|
750.00 |
|
|
|
|
|
| BLOOD SUGER
| 50
| 16
|
800.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGES
| 6150
| 1
|
6150.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------|
Notes: A/S MI
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
14800.00
|
|
|
| Rs. In Words: FOURTEEN THOUSAND EIGHT HUNDRED ONLY/|
---------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 410
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAJENDRABHAI MAHENDRABHAI AVASTHI
Date:
09-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| E. C. G.
|
150
| 8
|
1200.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 9
|
450.00 |

|
|
1750

|
|

I. C. U.
| 2

|
|
3500.00

|
CONSUTANT CHARGES
|
2550.00

|
|

|
2550
|

VISITING
| 1

|
|

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
7800.00
|
|
|
| Rs. In Words: SEVEN THOUSAND EIGHT HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 411
--------------------------------------------------------------------------------------------------------------------------| Patient:
MANISHABEN M ITALIYA
Date:
09-Aug-10
|
|
|
| Address:
NAGDHNIBA TAGHOGHA DIS BHAVNAGAR
Gender:
F
Age:
21
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| HOSHPI
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
3000.00 |
|
|
|
Total:
|
|
-2600.00
|

|
|
| Rs. In Words: -HUNDRED BILLION TWO HUNDRED AND SIXTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 412
--------------------------------------------------------------------------------------------------------------------------| Patient:
SAVITABEN N BARAIY

Date:

04-Jul-90

|
| Address:
Gender:
F
|

|
PARVALA TA TALAJA DIS BHAVNAGAR
Age:
50
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| VISITING CONSUL TANT CHARGES
|
3300
| 1
|
3300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4800.00
|
|
|
| Rs. In Words: FOUR THOUSAND EIGHT HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 413
--------------------------------------------------------------------------------------------------------------------------| Patient:
SAVITABEN G NANODIYA
Date:
10-Aug-10
|
|
|
| Address:
HALIYAD TA TA VALABHIPUR DIS BHAVNAGAR
Gender:
F
Age:
62
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 414
--------------------------------------------------------------------------------------------------------------------------| Patient:
HANSABEN LIBABHAI GABANI
Date:
10-Aug-10
|
|
|
| Address:
GUDALA TA GADHDA DIS BHAVNAGAR
Gender:
F
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 73
|
3650.00 |
|
|
|
|
|
| E. C. G.
|

150

| 4

600.00

|
|
450

|
GENERAL ROOM
| 3.5
|

|
|
1575.00

|
|
100

|
|

CATHETOR
| 1

|
|
100.00

|
|
|
| MEDICAL OFFICER CHARGES
|
0
| 1
|
.00 |
|
|
|
|
|
| NURSING CHARGES
|
0
| 1
|
.00 |
|
|
|
|
|
| VISITING DR CHARGES
|
9500
| 1
|
9500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
2000.00 |
|
|
|
Total:
|
|
17025.00
|
|
|
| Rs. In Words: SEVENTEEN THOUSAND AND TWENTY FIVE ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 415
--------------------------------------------------------------------------------------------------------------------------| Patient:
KALPNABEN A BHATT
Date:
11-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGES
|
350
| 2
|
700.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:

Deposit(-):
|

|
.00 |

|
|
|
Total:

|
1450.00

|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 416
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHARATIBEN B GOHIL
Date:
11-Aug-10
|
|
|
| Address:
HADMTALA
Gender:
F
Age:
30
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 8
|
400.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| O2 CHARGE/1 HOUR
|
20
| 12
|
240.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| INFUSION PUMP
|
300
| 1
|
300.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------

|
Notes:
Deposit(-):
|

|
.00 |

|
|
|
Total:

|
1840.00

|
|
| Rs. In Words: ONE THOUSAND EIGHT HUNDRED AND FORTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 417
--------------------------------------------------------------------------------------------------------------------------| Patient:
YATEDRAKUMAR V TYGI
Date:
11-Aug-10
|

|
|
| Address:
Gender:
M
|

BHAVNAGAR
Age:

53

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| NEBULISER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
600.00
|
|
|
| Rs. In Words: SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 418
--------------------------------------------------------------------------------------------------------------------------| Patient:
BIJARAJSHI H GOHIL
Date:
12-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
2000
| 2
|
4000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 5
|
750.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| INSTRUMENT
|
300
| 2
|
600.00 |
|
|
|
|
|
| VISITING CONSUL TANT CHAKES
|
2850
| 1
|
2850.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
8000.00
|
|
|
| Rs. In Words: EIGHT THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 419
--------------------------------------------------------------------------------------------------------------------------| Patient:
VINUBHAI R DEVANI
Date:
12-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ISOLATION ROOM
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 7
|
350.00 |
|
|

|
50

NEBULISER
| 14

|
|
700.00

|
|
450

|
GENERAL ROOM
| 0
|

|
|
.00

|
|
|
| DR SACHAPARA VISITING
|
2550
| 1
|
2550.00 |
|
|
|
|
|
| DR BANSAL VISITING
|
500
| 1
|
500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
7700.00
|
|
|
| Rs. In Words: SEVEN THOUSAND SEVEN HUNDRED ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 420
--------------------------------------------------------------------------------------------------------------------------| Patient:
DIPATIBEN RANJANIKANTBHAI DODIYA
Date:
13-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
27
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
775.00
|
|

|
| Rs. In Words: SEVEN HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 421
---------------------------------------------------------------------------------------------------------------------------

|
Date:

Patient:
RAVJIBHAI
13-Aug-10

RAGHAVBHAI PATEL
|

|
|
| Address:
Gender:
M
|

BHAVNAGAR
Age:

65

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| D. C. SHOCK
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
750.00
|
|
|
| Rs. In Words: SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 422
--------------------------------------------------------------------------------------------------------------------------| Patient:
DHARMBA SUKHADEVSHI GOHIL
Date:
13-Aug-10
|
|
|
| Address:
THORDI TA BHAVNAGAR DIS BHAVNAGAR
Gender:
F
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| NURSING CHARGES
|
300
| 1
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1400.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 423
--------------------------------------------------------------------------------------------------------------------------| Patient:
BATHABHAI NAGABHAI SATIYA
Date:
13-Aug-10
|
|
|
| Address:
NASITPUR,TA VALLABHIPUR,DIST BVN
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| E. C. G.
|
150
| 7
|
1050.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |

|
|
50
|

|
|

BLOOD SUGER
| 2

|
|
100.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
1950.00
|
|
|
| Rs. In Words: ONE THOUSAND NINE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 424
--------------------------------------------------------------------------------------------------------------------------| Patient:
GUNVATBHAI K GOHIL
Date:
13-Aug-10
|
|
|
| Address:
PADVA TA GHOGHA DIS BHAVNAGAR
Gender:
M
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3.5
|
6125.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
| E. C. G.
|
150
| 7
|
1050.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|

|
Total:

|
3000.00

|
|
| Rs. In Words: THREE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 425
--------------------------------------------------------------------------------------------------------------------------| Patient:
URAMILABEN B DHADHLIY
Date:
13-Aug-10
|

|
| Address:
Gender:
F
|

|
DIHOR TA TALAJA DIS BHAVNAGAR
Age:
25
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 426
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAGHAVBHAI GIDHABHAI CHAUHAN
Date:
14-Aug-10
|
|
|
| Address:
VALUKAD TA GHOGHA DIS BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|

100

| 1

100.00

|
|
450

|
GENERAL ROOM
| 1
|

|
|
450.00

|
|
50
|

|
|

BLOOD SUGER
| 1

|
|
50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
600.00
|
|
|
| Rs. In Words: SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 427
--------------------------------------------------------------------------------------------------------------------------| Patient:
UJAMBEN PRMJIBHAI MAKAWANA
Date:
14-Aug-10
|
|
|
| Address:
HEBATPUR TA BARAVALA DIS AMADABA
Gender:
F
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |

|
|
|
Total:

|
600.00

|
|
| Rs. In Words: SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU

0278-2429665
Bill No.: 428
--------------------------------------------------------------------------------------------------------------------------| Patient:
JIVRAJBHAI RAMJIBHAI VAGHASHIYA
Date:
14-Aug-10
|
|
|
| Address:
BHMMRIYA TA GARIYADHAR DIS BHAVNAGAR
Gender:
M
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| O2 CHARGE/1 HOUR
|
20
| 15
|
300.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| NEBULISER
|
50
| 16
|
800.00 |
|
|
|
|
|
|
VISITING CONSUL BANASAL
|
2600
| 1
|
2600.00 |
|
|
|
|
|
| VISITING CONSUL BALAR
|
500
| 1
|
500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:

Deposit(-):
|

|
.00 |

|
|
|
Total:

|
6175.00

|
|
| Rs. In Words: SIX THOUSAND ONE HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 429
--------------------------------------------------------------------------------------------------------------------------| Patient:
KISHORBHAI T
GADHAVI
Date:
14-Aug-10
|
|

| Address:
Gender:
M
|

|
MANAR TA TALAJA DIS BHAVNAGAR
Age:
48
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 6
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
1700.00
|
|
|
| Rs. In Words: ONE THOUSAND SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 430
--------------------------------------------------------------------------------------------------------------------------| Patient:
RANJANBEN M ANJAVALIY
Date:
14-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
55
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|

---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| VISITIG CONSUANT CHARKE
|
1600
| 1
|
1600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3025.00
|
|
|
| Rs. In Words: THREE THOUSAND AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 431
--------------------------------------------------------------------------------------------------------------------------| Patient:
GAJENDRSHI S RAJAVADA
Date:
14-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
49
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 6
|
900.00 |
|
|
|
|
|
| BLOOD SUGER
|

50

| 1
|

50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4550.00
|
|
|
| Rs. In Words: FOUR THOUSAND FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 432
--------------------------------------------------------------------------------------------------------------------------| Patient:
GHANSHYAMBHAI GOHIL
Date:
14-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
46
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 2
|
100.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|

|
15000.00 |
|
|
|
Total:

|
-9075.00

|
|
| Rs. In Words: -HUNDRED BILLION NINE HUNDRED AND SEVEN ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 433
---------------------------------------------------------------------------------------------------------------------------

|
Date:

Patient:
KURASHIBHAI M GORSHIYA
14-Aug-10

|
| Address:
Gender:
M
|

|
BHALVAV TA LATHI DISAMRELI
Age:
52
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1600.00
|
|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 434
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAGHAVBHAI GIDHABHAI CHAUHAN
Date:
14-Aug-10
|
|
|
| Address:
VALUKAD TA GHOGHA DIS BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1225.00
|
|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 435
--------------------------------------------------------------------------------------------------------------------------| Patient:
PRAMODBHAI GOHIL
Date:
15-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
34
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 5
|
5000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |

|
|
|
Total:

|
5100.00

|
|
| Rs. In Words: FIVE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 436
--------------------------------------------------------------------------------------------------------------------------| Patient:
MADHUBEN JASMATBHAI VALIYA
Date:
15-Aug-10
|
|
|
| Address:
RAJAPARA TA TALAJA DIST BVN
Gender:
F
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 437
--------------------------------------------------------------------------------------------------------------------------| Patient:
BABUBEN TALSHIBHAI SOLANKI
Date:
16-Aug-10
|
|
|
| Address:
DEVPURA TA BARWALA DIST BVN
Gender:
F
Age:
70
|
|
|
|
|

|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2525.00
|
|
|
| Rs. In Words: TWO THOUSAND FIVE HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 438
--------------------------------------------------------------------------------------------------------------------------| Patient:
ALPABEN GHANSHMBHAI PARAMAR
Date:
16-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
20
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|

450

| 1
|

450.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 439
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAJEDARBHAI M AUASTH
Date:
16-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
55
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 17
|
850.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| VISITING DR CHARGES
|
1100
| 3
|
3300.00 |
|
|
|
|
|

--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
8300.00
|
|
|
| Rs. In Words: EIGHT THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665

Bill No.: 440


--------------------------------------------------------------------------------------------------------------------------| Patient:
HIMMATBHAI VELJIBHAI SABHADIYA
Date:
16-Aug-10
|
|
|
| Address:
MANAR TA TALAJA DIST BVN
Gender:
M
Age:
20
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 441
--------------------------------------------------------------------------------------------------------------------------| Patient:
MEENABEN HARJIBHAI VANJARA
Date:
16-Aug-10
|
|
|
| Address:
MANAR, TA TALAJA DIST BVN
Gender:
F
Age:
16
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|

Fees

Days

Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1425.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 442
---------------------------------------------------------------------------------------------------------------------------| Patient:
ASHOKBHAI MOHANBHAI MAKWANA
Date:
16-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
48
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
| 2000
| 1.5
|
3000.00 |
|
|
|
|
|
| E. C. G.
| 150
| 1
|
150.00 |

|
|
|
| 50

|
BLOOD SUGER
| 2

|
RYLES TUBE
| 1

|
CATHETOR
| 1

|
100.00

|
|
|
| 150

|
150.00

|
|
|
| 150

|
150.00

|
|
|
| 2500

|
|
VISITING CONSULTANT CHARGES
| 1
|

|
2500.00

|
|

|
|
|
---------------------------------------------------------------------------------------------------------------------------|
Notes: RT MCA TERITORY MOD INFARCT WITH LT HEMIPLEGIA
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6150.00
|
|
|
| Rs. In Words: SIX THOUSAND ONE HUNDRED AND FIFTY ONLY/|
---------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 443
--------------------------------------------------------------------------------------------------------------------------| Patient:
KRIPALSHI BHARATSHI
Date:
16-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
25
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|

|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 444
-------------------------------------------------------------------

--------------------------------------------------------| Patient:
THAKARSHIBHAI K GHOGHARI
Date:
16-Aug-10
|
|
|
| Address:
MELANA TA VALLBHIPUR DIS BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| NEBULISER
|
50
| 11
|
550.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2050.00
|
|
|
| Rs. In Words: TWO THOUSAND AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 445
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAGHAVBHAI GIDHABHAI CHAUHAN
Date:
16-Aug-10
|
|
|
| Address:
VALUKAD TA GHOGHA DIS BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------

Fees

Services Rendered
Days
|

|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
850.00
|
|
|
| Rs. In Words: EIGHT HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 446
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHAVNABEN NIRAJBHAI CHAUHAN
Date:
17-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:

Deposit(-):
|

|
.00 |

|
|
|
Total:

|
1100.00

|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 447
---------------------------------------------------------------------------------------------------------------------------| Patient:
JAMNABEN B MAKAWANA
Date:
17-Aug-10
|
|
|
| Address:
DKANA TA TALAJA DIS BHAVNAGAR
Gender:
F
Age:
50
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
| 1750
| 3.5
|
6125.00 |
|
|
|
|
|
| GENERAL ROOM
| 450
| 5
|
2250.00 |
|
|
|
|
|
| BLOOD SUGER
| 50
| 40
|
2000.00 |
|
|
|
|
|
| RYLES TUBE
| 100
| 1
|
100.00 |
|
|
|
|
|
| CATHETOR
| 100
| 1
|
100.00 |
|
|
|
|
|
| E. C. G.
| 150
| 1
|
150.00 |
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------

|
Notes:
Deposit(-):
|

DM, LT CEREBRAL INFARCT, RT HEMIPLEGIA


|
5000.00 |

|
|
|
Total:

|
5825.00

|
|
| Rs. In Words: FIVE THOUSAND EIGHT HUNDRED AND TWENTY FIVE ONLY/
|
---------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 448
---------------------------------------------------------------------------------------------------------------------------

|
Date:

Patient:
THAKARSHIBHAI BHIMAJIBHAI SACHAPAR
17-Aug-10
|

|
| Address:
Gender:
M
|

|
MADHDA TA SHIHOR DIS BHAVNAGAR
Age:
65
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2100.00
|
|
|
| Rs. In Words: TWO THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 449
--------------------------------------------------------------------------------------------------------------------------| Patient:
MEENABEN BHAGVANBHAI CHAROLA
Date:
17-Aug-10
|
|
|
| Address:
KOTADA TA DHANDHUKA DIST ABD
Gender:
F
Age:
16
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|

Fees

Days

Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ISOLATION ROOM
|
1750
| 1
|
1750.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
3000.00 |
|
|
|
Total:
|
|
-1150.00
|
|
|
| Rs. In Words: -HUNDRED BILLION ONE HUNDRED AND FIFTEEN ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 450
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAMNIKBHAI PRATAPBHAI TRIVEDI
Date:
17-Aug-10
|
|
|
| Address:
B-168, SRINATHJINAGAR BVN
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 2
|
100.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------

|
Notes:
Deposit(-):
|

|
.00 |

|
|
|
Total:

|
650.00

|
|
| Rs. In Words: SIX HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 451
--------------------------------------------------------------------------------------------------------------------------| Patient:
KISHAN UMESHBHAI RATHOD
Date:
17-Aug-10
|
|
|
| Address:
SAVARKUNDLA
Gender:
M
Age:
14
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1150.00
|
|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 452
--------------------------------------------------------------------------------------------------------------------------| Patient:
MANTHANBHAI NARESHBHAI CHAUHAN
Date:
18-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
14
|
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
3000.00 |
|
|
|
Total:
|
|
-525.00
|
|
|
| Rs. In Words: -HUNDRED BILLION AND FIFTY TWO ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 453
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHUPATBHAI NARSHIBHAI CHAUHAN
Date:
18-Aug-10
|
|
|
| Address:
HANUMAN SHERI, GARIADHAR
Gender:
M
Age:
51
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|

|
1750

I. C. U.
| 3

|
|
5250.00

|
|
450

|
GENERAL ROOM
| 1
|

|
|
450.00

|
|
150

|
|

E. C. G.
| 7

BLOOD SUGER
| 8

|
|
1050.00

|
|
50
|

|
|
|
400.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
7250.00
|
|
|
| Rs. In Words: SEVEN THOUSAND TWO HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 454
--------------------------------------------------------------------------------------------------------------------------| Patient:
HIMMATBHAI BALABHAI MAKWANA
Date:
18-Aug-10
|
|
|
| Address:
JITHRI TA SIHOR DIST BHAVNAGAR
Gender:
M
Age:
32
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 6
|
900.00 |
|
|
|
|
|
| BLOOD SUGER
|

50

| 1
|

50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6750.00
|
|
|
| Rs. In Words: SIX THOUSAND SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 455
--------------------------------------------------------------------------------------------------------------------------| Patient:
YOGINIBEN B VORA
Date:
18-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| NEBULISER
|
50
| 6
|
300.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
800.00
|
|
|
| Rs. In Words: EIGHT HUNDRED ONLY/-

|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 456
--------------------------------------------------------------------------------------------------------------------------| Patient:
PRAMODBHAI CHAURYA
Date:
18-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
43
|

|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
900.00
|
|
|
| Rs. In Words: NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 457
--------------------------------------------------------------------------------------------------------------------------| Patient:
DHVANI AADITYA JOSHI
Date:
20-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
23
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|

|
1000

DELUXE ROOM
| 1

|
|
1000.00

|
|
|
| VISITING CONSULTANT CHARGES
|
1300
| 1
|
1300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2400.00
|
|
|
| Rs. In Words: TWO THOUSAND FOUR HUNDRED ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 458
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAMJIBHAI SUKHABHAI VALIYA
Date:
20-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
56
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|

|
Total:

|
1250.00

|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 459

--------------------------------------------------------------------------------------------------------------------------| Patient:
SONIBEN MOHANBHAI MASALI
Date:
21-Aug-10
|
|
|
| Address:
PADAVA TA GHOGHA DIS BHAVNAGAR
Gender:
F
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1.5
|
2625.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| O2 CHARGE/1 HOUR
|
20
| 36
|
720.00 |
|
|
|
|
|
| NEBULISER
|
50
| 22
|
1100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6045.00
|
|

|
| Rs. In Words: SIX THOUSAND AND FORTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 460
--------------------------------------------------------------------------------------------------------------------------| Patient:
SHAMATBHAI JERAMBHAI KHASIYA
Date:
21-Aug-10
|
|
|
| Address:
MOTA KHOKHRA TA GHOGHA DIST BVN
Gender:
F
Age:
85
|
|
|
|

|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 5
|
2250.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
300
| 1
|
300.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3000.00
|
|
|
| Rs. In Words: THREE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 461
--------------------------------------------------------------------------------------------------------------------------| Patient:
KIRTIBHAI JENTIBHAI PATEL
Date:
21-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
25
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|

100

| 1
|

100.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
100.00
|
|
|
| Rs. In Words: ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 462
--------------------------------------------------------------------------------------------------------------------------| Patient:
DHANABHAI GHELABHAI SOLANKI
Date:
21-Aug-10
|
|
|
| Address:
PADVA TA GHOGHA DIST BVN
Gender:
M
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|

|
475.00

|
|
| Rs. In Words: FOUR HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 463
-------------------------------------------------------------------

--------------------------------------------------------| Patient:
MANJUBEN LALJIBHAI SALIYA
Date:
22-Aug-10
|
|
|
| Address:
LAKHIYANI TA BOTAD DIST BVN
Gender:
F
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2.5
|
4375.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4925.00
|
|
|
| Rs. In Words: FOUR THOUSAND NINE HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 464
--------------------------------------------------------------------------------------------------------------------------| Patient:
KAILASHBEN BHARATBHAI DABHI
Date:
22-Aug-10
|
|
|
| Address:
UMRALA TA DIST BVN
Gender:
F
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 465
--------------------------------------------------------------------------------------------------------------------------| Patient:
ASHOKBHAI LIMBABHAI GOHIL
Date:
22-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
28
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|

.00 |
|
|
|
Total:

|
1450.00

|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 466
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHAVNABEN K KACHADIYA
Date:
22-Aug-10
|
|
|
| Address:
SHELNA TA SAVARKUNDLA DIST BVN
Gender:
F
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| NEBULISER
|
50
| 4
|
200.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
750.00
|
|
|
| Rs. In Words: SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 467
--------------------------------------------------------------------------------------------------------------------------| Patient:
LAXMIKANTBHAI N RAVAL
Date:
23-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
56
|
|
|
|

|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGES
|
3650
| 1
|
3650.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
7500.00
|
|
|
| Rs. In Words: SEVEN THOUSAND FIVE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 468
--------------------------------------------------------------------------------------------------------------------------| Patient:
MAHESHBHAI BHAGVANDAS ROHIDA
Date:
23-Aug-10
|
|
|
| Address:
5,AKASHGANGA,GAYATRINAGAR BVN
Gender:
M
Age:
37
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|

|
450

GENERAL ROOM
| 7
|

|
3150.00

|
|
|
| BLOOD TRANFUSION
|
300
| 3
|
900.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 33
|
1650.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5800.00
|
|
|
| Rs. In Words: FIVE THOUSAND EIGHT HUNDRED ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 469
--------------------------------------------------------------------------------------------------------------------------| Patient:
SANJAYBHAI UKABHAI MAKWANA
Date:
23-Aug-10
|
|
|
| Address:
LAVARDA TA SIHOR DIST BVN
Gender:
F
Age:
25
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 6
|
6000.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
300
| 7
|
2100.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:

Deposit(-):
|

|
10000.00 |

|
|
|
Total:

|
-1650.00

|
|
| Rs. In Words: -HUNDRED BILLION ONE HUNDRED AND SIXTY FIVE ONLY/
|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 470
--------------------------------------------------------------------------------------------------------------------------| Patient:
HIMMATBHAI TEJABHAI CHAUHAN
Date:
23-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
36
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4050.00
|
|
|
| Rs. In Words: FOUR THOUSAND AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 471
--------------------------------------------------------------------------------------------------------------------------| Patient:
TRIVENIBEN LALLUBHAI
Date:
23-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
80
|
|
|
|
|
|

|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2000.00
|
|
|
| Rs. In Words: TWO THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 472
--------------------------------------------------------------------------------------------------------------------------| Patient:
GOBARBHAI MOHANBHAI MAKWANA
Date:
24-Aug-10
|
|
|
| Address:
SARTANPAR TA GHOGHA DIST BVN
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|

|
50
|

BLOOD SUGER
| 6

|
|

300.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1750.00
|
|
|
| Rs. In Words: ONE THOUSAND SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 473
--------------------------------------------------------------------------------------------------------------------------| Patient:
HARJIBHAI BHAGVANBHAI PATEL
Date:
24-Aug-10
|
|
|
| Address:
UJALVAV TA UMRALA DIST BVN
Gender:
M
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|

Total:

|
1200.00

|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 474
---------------------------------------------------------------------------------------------------------------------------

|
Date:

Patient:
CHOTALAL PRASADBHAI
24-Aug-10

|
| Address:
Gender:
M
|

|
ALANG TA TALAJA DIST BVN
Age:
22
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1225.00
|
|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 475
--------------------------------------------------------------------------------------------------------------------------| Patient:
LABHUBEN B MEHTA
Date:
24-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| E. C. G.
|
150
| 4
|
600.00 |
|
|
|
|
|
| O2 CHARGE/1 HOUR
|
20
| 25
|
500.00 |
|
|
|
|
|
| ENDOTRACHEAL TUBE
|
300
| 1
|
300.00 |
|
|
|
|
|
| VENTILATOR(INVESIVE)
|
2500
| 0.3
|
750.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| MEDICAL OFFICER CHARGES
|
300
| 3
|
900.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGES
|
3650
| 1
|
3650.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
12150.00
|
|
|
| Rs. In Words: TWELVE THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 476
--------------------------------------------------------------------------------------------------------------------------| Patient:
BACHUBHAI LAVJIBHAI SOLANKI
Date:
24-Aug-10
|
|
|
| Address:
KUNTDA TA TALAJA DIST BVN
Gender:
M
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|

450

| 0.5

NEBULISER
| 2

225.00

|
|
50
|

|
|
|
100.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
425.00
|
|
|
| Rs. In Words: FOUR HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 477
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHAVNABEN MAHENDRABHAI GOTI
Date:
25-Aug-10
|
|
|
| Address:
ANIDA TA GADHDA DIST BVN
Gender:
F
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1.5
|
1500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|

|
1750.00

|
|
| Rs. In Words: ONE THOUSAND SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 478
-------------------------------------------------------------------

--------------------------------------------------------| Patient:
ROSHANBEN SHEKH
Date:
25-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
55
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 479
--------------------------------------------------------------------------------------------------------------------------| Patient:
ARCHNABEN MUKESHBHAI BHATT
Date:
26-Aug-10
|
|
|
| Address:
51, NALANDA APPARTMENT,HILL DRIVE BVN
Gender:
F
Age:
42
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|

---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGES
|
1100
| 2
|
2200.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4300.00
|
|
|
| Rs. In Words: FOUR THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 480
--------------------------------------------------------------------------------------------------------------------------| Patient:
BOTHABHAI ODHABHAI CHAUHAN
Date:
26-Aug-10
|
|
|
| Address:
SARTANPAR TA GHOGHA DIST BVN
Gender:
M
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| E. C. G.
|
150
| 6
|
900.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 20
|
1000.00 |
|
|

|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
10000.00 |
|
|
|
Total:
|
|
-2750.00
|
|
|
| Rs. In Words: -HUNDRED BILLION TWO HUNDRED AND SEVENTY FIVE ONL
Y/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 481
--------------------------------------------------------------------------------------------------------------------------| Patient:
MAHESHBHAI KANJIBHAI AAHIR
Date:
26-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
22
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 482
--------------------------------------------------------------------------------------------------------------------------| Patient:
MAVJIBHAI RAMJIBHAI GOTI
Date:
26-Aug-10
|
|
|
| Address:
HALIYAD TA VALLABHIPUR DIST BVN
Gender:
M
Age:
48
|
|
|
|

|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
850.00
|
|
|
| Rs. In Words: EIGHT HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 483
--------------------------------------------------------------------------------------------------------------------------| Patient:
KANTABEN MANJIBHAI CHUDASAMA
Date:
26-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
55
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |

|
|
150
|

|
|

E. C. G.
| 1

|
|
150.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 484
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHANDRABEN M THAKKAR
Date:
26-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
300
| 4
|
1200.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|

|
|
Total:

|
-1550.00

|
|
| Rs. In Words: -HUNDRED BILLION ONE HUNDRED AND FIFTY FIVE ONLY/
|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 485

--------------------------------------------------------------------------------------------------------------------------| Patient:
DILIPBHAI BHUPATBHAI SOLANKI
Date:
26-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
24
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 486
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAYSHREEBEN VIRAMDEVSINH RATHOD
Date:
27-Aug-10
|
|
|
| Address:
ZANZMER TA TALAJA DIST BVN
Gender:
F
Age:
20
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 487
--------------------------------------------------------------------------------------------------------------------------| Patient:
RIDDHIBEN CHIRAGBHAI DHANANI
Date:
27-Aug-10
|
|
|
| Address:
VALLABHIPUR TA DIST BVN
Gender:
F
Age:
23
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
300
| 2
|
600.00 |
|
|
|
|
|

--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2850.00
|
|
|
| Rs. In Words: TWO THOUSAND EIGHT HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 488
--------------------------------------------------------------------------------------------------------------------------| Patient:
HIMMATBHAI VELABHAI BARAIYA
Date:
27-Aug-10
|
|
|
| Address:
RATANPAR
Gender:
M
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
850.00
|
|
|
| Rs. In Words: EIGHT HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 489
--------------------------------------------------------------------------------------------------------------------------| Patient:
TAPUBHAI JADAVBHAI KUCHA
Date:
27-Aug-10
|
|
|
| Address:
VALUKAD TA GHOGHA DIST BVN
Gender:
M
Age:
81
|
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
3000.00 |
|
|
|
Total:
|
|
-950.00
|
|
|
| Rs. In Words: -HUNDRED BILLION AND NINETY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 490
--------------------------------------------------------------------------------------------------------------------------| Patient:
VALJIBHAI CHGAGANBHAI
Date:
28-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|

1750

| 3

5250.00

|
|
450

|
GENERAL ROOM
| 1
|

|
|
450.00

|
|
150

|
|

E. C. G.
| 5

BLOOD SUGER
| 20

|
|
750.00

|
|
50
|

|
|
|
1000.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
7550.00
|
|
|
| Rs. In Words: SEVEN THOUSAND FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 491
--------------------------------------------------------------------------------------------------------------------------| Patient:
VISHALBHAI SURESHBHAI GUPTA
Date:
28-Aug-10
|
|
|
| Address:
15 PLOT ALANG
Gender:
M
Age:
18
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|

550.00

|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 492

--------------------------------------------------------------------------------------------------------------------------| Patient:
FATIMABEN GAFARBHAI NAGANI
Date:
28-Aug-10
|
|
|
| Address:
UMRALA DIST BVN
Gender:
F
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2250.00
|
|
|

| Rs. In Words: TWO THOUSAND TWO HUNDRED AND FIFTY ONLY/|


--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 493
--------------------------------------------------------------------------------------------------------------------------| Patient:
NAYNABEN JILUBHAI PARMAR
Date:
28-Aug-10
|
|
|
| Address:
SAMADHIYALA TA GHOGHA DIST VBN
Gender:
F
Age:
18
|
|
|
|
|

|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 494
--------------------------------------------------------------------------------------------------------------------------| Patient:
BAVCHANDBHAI KHODABHAI SIDDHAPURA
Date:
29-Aug-10
|
|
|
| Address:
GARIADHAR TA DIST VBN
Gender:
M
Age:
80
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
-------------------------------------------------------------------

--------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
325.00
|
|
|
| Rs. In Words: THREE HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 495
--------------------------------------------------------------------------------------------------------------------------| Patient:
BECHARBHAI SAVJIBHAI DUNGRANI
Date:
29-Aug-10
|
|
|
| Address:
ROJID
Gender:
M
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 5
|
750.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
6000.00 |
|
|

|
Total:

|
-600.00

|
|
| Rs. In Words: -HUNDRED BILLION AND SIXTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 496
--------------------------------------------------------------------------------------------------------------------------| Patient:
SONABEN DEVANI
Date:
29-Aug-10
|

|
|
| Address:
Gender:
F
|

BHAVNAGAR
Age:

80

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 4
|
7000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGES
|
1100
| 4
|
4400.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
11650.00
|
|
|
| Rs. In Words: ELEVEN THOUSAND SIX HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 497
--------------------------------------------------------------------------------------------------------------------------| Patient:
VALJIBHAI MADHABHAI KHIMANI
Date:
29-Aug-10
|
|
|
| Address:
BHUMBHALI TA GHOGHA DIST VBN
Gender:
M
Age:
43
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 9
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2050.00
|
|
|
| Rs. In Words: TWO THOUSAND AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 498
--------------------------------------------------------------------------------------------------------------------------| Patient:
LALITABEN GHANSHYAMBHAI BHATT
Date:
29-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
80
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
2000
| 7
|
14000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 4
|
600.00 |
|
|
|
|
|

|
50

NEBULISER
| 38

BLOOD SUGER
| 1

CATHETOR
| 1

1900.00

|
|
50

|
|
|
50.00

|
|
100

|
|
100.00

|
|
|
| BLOOD TRANFUSION
|
300
| 3
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
17650.00
|
|
|
| Rs. In Words: SEVENTEEN THOUSAND SIX HUNDRED AND FIFTY ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 499
--------------------------------------------------------------------------------------------------------------------------| Patient:
ANJVALIBEN VITTHALBHAI GHEVARIYA
Date:
31-Aug-10
|
|
|
| Address:
KOBADI, TA DIST BVN
Gender:
F
Age:
72
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 4
|
7000.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| PULSE OXYMETER
|
300
| 2
|
600.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 13
|
650.00 |
|
|
|
|
|
| E. C. G.
|
150
| 8
|
1200.00 |

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
11550.00
|
|
|
| Rs. In Words: ELEVEN THOUSAND FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 500
--------------------------------------------------------------------------------------------------------------------------| Patient:
MANILAL VALLABHDAS KARYA
Date:
31-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 501
--------------------------------------------------------------------------------------------------------------------------| Patient:
DIVYABEN JAYESHBHAI BHADIYADRA
Date:
09-Jan-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
38
|
|
|
|
|
|

|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| NURSING CHARGES
|
250
| 1
|
250.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
800.00
|
|
|
| Rs. In Words: EIGHT HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 502
--------------------------------------------------------------------------------------------------------------------------| Patient:
LAXMIBEN HARIRAM ARYA
Date:
09-Jan-10
|
|
|
| Address:
ALANG TA TALAJA DIST BVN
Gender:
F
Age:
25
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 5
|
2250.00 |
|
|
|
|
|

|
150

E. C. G.
| 1

NEBULISER
| 9

150.00

|
|
50
|

|
|
|
450.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2950.00
|
|
|
| Rs. In Words: TWO THOUSAND NINE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 503
--------------------------------------------------------------------------------------------------------------------------| Patient:
GABHARUBHAI BHANABHAI BHALIYA
Date:
09-Feb-10
|
|
|
| Address:
BABARKART TA JAFARABAD DIS AMARELI
Gender:
M
Age:
30
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| CENTRAL LINE
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 2
|
100.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|

|
|
300

|
A. B. G. COLLECTION
| 1
|

|
|
300.00

|
|
|
| O2 CHARGE/1 HOUR
|
20
| 7
|
140.00 |
|
|
|
|
|
| VISITING DR CHARGES DR GUPTA
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| VISITING DR CHARGES DR RANA
|
500
| 1
|
500.00 |
|
|
|
|
|
| VISITING DR CHARGES DR SACHAPARA
|
500
| 1
|
500.00 |
|
|
|
|
|
| VISITING DR CHARGES DR VIJAY THAKKAR
|
300
| 1
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5890.00
|
|
|
| Rs. In Words: FIVE THOUSAND EIGHT HUNDRED AND NINETY ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 504
--------------------------------------------------------------------------------------------------------------------------| Patient:
HARJIBHAI DAYALBHAI MAKWNA
Date:
09-Mar-10
|
|
|
| Address:
PITHLAPUR TA TALAJA DIS BHAVNAGAR
Gender:
M
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
|
GEN ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|

|
Total:

|
550.00

|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 505
-------------------------------------------------------------------

--------------------------------------------------------| Patient:
TARUNBHAI CHANDRAKANTBHAI DAVE
Date:
09-Mar-10
|
|
|
| Address:
TALAJA TA DIST BVN
Gender:
M
Age:
18
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
10000.00 |
|
|
|
Total:
|
|
-6050.00
|
|
|
| Rs. In Words: -HUNDRED BILLION SIX HUNDRED AND FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 506
--------------------------------------------------------------------------------------------------------------------------| Patient:
SANJAYBHAI SURABHAI JAMBUCHA
Date:
09-Mar-10
|
|
|
| Address:
GARIBPARA TA GHOGHA DIST BVN
Gender:
M
Age:
25
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1150.00
|
|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 507
--------------------------------------------------------------------------------------------------------------------------| Patient:
BAVCHANDBHAI K SIDDHAPURA
Date:
09-Mar-10
|
|
|
| Address:
GARIYADHAR
Gender:
M
Age:
85
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 4
|
7000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| RYLES TUBE
|

100

| 2

CATHETOR
| 2

WB
| 16

FFP
| 8

200.00

|
|
100

|
|
|
200.00

|
|
100

|
|
|
1600.00

|
|
100

|
|
|
800.00

|
|
1000
|

|
CENTRAL LINE
| 1
|

|
|
1000.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
9000.00 |
|
|
|
Total:
|
|
2200.00
|
|
|
| Rs. In Words: TWO THOUSAND TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 508
--------------------------------------------------------------------------------------------------------------------------| Patient:
DARSHNABEN NEETINBHAI GOLANIYA
Date:
09-Mar-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
26
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| TREAT
|
200
| 1
|
200.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|

Total:

|
750.00

|
|
| Rs. In Words: SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 509

--------------------------------------------------------------------------------------------------------------------------| Patient:
LEELABEN KESHAVLAL ROY
Date:
09-Mar-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3100.00
|
|
|
| Rs. In Words: THREE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 510
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHIMAJIBHAI LALJIBHAI ITALIYA
Date:
09-Mar-10
|
|
|
| Address:
NAGADHNIBA TA BHAVNAGAR DIS BHAVNAGAR
Gender:
M
Age:
47
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 511
--------------------------------------------------------------------------------------------------------------------------| Patient:
BALAMUNKUDBHAI R GOND
Date:
09-Apr-10
|
|
|
| Address:
ALAG TA BHAVNAGAR DIS BHAVNAGAR
Gender:
M
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|

|
Total:

|
1000.00

|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU

0278-2429665
Bill No.: 512
--------------------------------------------------------------------------------------------------------------------------| Patient:
ISHVARBHAI MATHURBHAI CHAUHAN
Date:
09-Apr-10
|
|
|
| Address:
DADVA TA UAMARALA DIS BHAVNAGAR
Gender:
M
Age:
38
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 513
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAMSANGBHAI B BHANDARI
Date:
09-Apr-10
|
|
|
| Address:
BORLA TA TALAJA DIST BVN
Gender:
M
Age:
28
|
|
|
|
|
|
|

---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 514
--------------------------------------------------------------------------------------------------------------------------| Patient:
NITINBHAI CHADUNBHI KHASIYA
Date:
09-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
30
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:

Deposit(-):
|

|
.00 |

|
|
|
Total:

|
775.00

|
|
| Rs. In Words: SEVEN HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 515
--------------------------------------------------------------------------------------------------------------------------| Patient:
HIMMTABHAI K GOHIL
Date:
09-Apr-10
|
|
|
| Address:
VALBHIPUR TA BHAVNAGAR DIS BHAVNAGAR
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 516
--------------------------------------------------------------------------------------------------------------------------| Patient:
DAVALBEN GANESHBHAI NAVADIYA
Date:
09-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
50
|
|
|
|

|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2150.00
|
|
|
| Rs. In Words: TWO THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 517
--------------------------------------------------------------------------------------------------------------------------| Patient:
BECHRBHAI S DUGARANI
Date:
09-Apr-10
|
|
|
| Address:
ROJIT TA BHAVNAGAR DIS BHAVNAGAR
Gender:
M
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |

|
|

|
450

GENERAL ROOM
| 0.5
|

|
|
225.00

|
|
150
|

|
|

E. C. G.
| 3

|
|
450.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
-2475.00
|
|
|
| Rs. In Words: -HUNDRED BILLION TWO HUNDRED AND FORTY SEVEN ONLY
/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 518
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAYSHRIBEN KISHORBHAI GOHIL
Date:
09-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|

Total:

|
600.00

|
|
| Rs. In Words: SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 519

--------------------------------------------------------------------------------------------------------------------------| Patient:
GAYATRIBA KULDEPSINH GOHIL
Date:
09-Apr-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
23
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
600.00
|
|
|
| Rs. In Words: SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 520
--------------------------------------------------------------------------------------------------------------------------| Patient:
PUSHPABA KULDEEPSINH GOHIL
Date:
09-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
750
| 4
|
3000.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGES
|
2450
| 1
|
2450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5900.00
|
|
|
| Rs. In Words: FIVE THOUSAND NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 521
--------------------------------------------------------------------------------------------------------------------------| Patient:
NAGJIBHAI RAMJIBHAI KHUT
Date:
09-May-10
|
|
|
| Address:
MANVILAS, TA GARIADHAR DIST BVN
Gender:
M
Age:
53
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|

|
50
|

BLOOD SUGER
| 1

|
|
50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2050.00
|
|
|
| Rs. In Words: TWO THOUSAND AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 522
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAJUBHAI D BARAIYA
Date:
09-May-10
|
|
|
| Address:
MOTIPANIYARI TA TALAJA DIS BHAVNAGAR
Gender:
F
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 523
--------------------------------------------------------------------------------------------------------------------------| Patient:
PRBHATBHAI R PAVARA
Date:
09-May-10
|
|
|
| Address:
NANIVAVADI TA RANAPUR DIS AMADAVAD

Gender:
|

Age:

47

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 524
--------------------------------------------------------------------------------------------------------------------------| Patient:
RATIBHAI SIDDPURA
Date:
09-May-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
85
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|

|
450

GENERAL ROOM
| 1
|

|
450.00

|
|
150

|
|

E. C. G.
| 1

|
|
150.00

|
|
|
| VISITING CONSU TANT CHARKES
|
300
| 1
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 525
--------------------------------------------------------------------------------------------------------------------------| Patient:
KAILASHBEN C PANDYA
Date:
09-Jun-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|

775.00

|
|
| Rs. In Words: SEVEN HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 526

--------------------------------------------------------------------------------------------------------------------------| Patient:
BIPINBHAI D BARAIYA
Date:
09-Jun-10
|
|
|
| Address:
SANIYALA TA GHOGHA DIST BVN
Gender:
M
Age:
17
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 527
--------------------------------------------------------------------------------------------------------------------------| Patient:
MANGUBEN D DHADHALIYA
Date:
09-Jun-10
|
|
|
| Address:
GADHADA TA TALAJA DIS BHAVNAGAR
Gender:
F
Age:
55
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| VVIP
|
2000
| 1
|
2000.00 |
|
|
|
|
|
| MEDICAL OFFICER CHARGES
|
2000
| 1
|
2000.00 |
|
|
|
|
|
| A. B. G. COLLECTION
|
300
| 1
|
300.00 |
|
|
|
|
|
| ENDOTRACHEAL TUBE
|
300
| 1
|
300.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
300
| 4
|
1200.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
10000.00 |
|
|
|
Total:
|
|
-3950.00
|
|
|
| Rs. In Words: -HUNDRED BILLION THREE HUNDRED AND NINETY FIVE ON
LY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 528
--------------------------------------------------------------------------------------------------------------------------| Patient:
JIKABHAI RAVJIBHAI VEGAD
Date:
09-Jun-10
|
|
|
| Address:
ANDANIYAVAD TA GHOGHA DIST BVN
Gender:
M
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 9
|
15750.00 |
|
|

|
150

E. C. G.
| 10

BLOOD SUGER
| 40

NEBULISER
| 40

CATHETOR
| 1

RYLES TUBE
| 1

|
|
1500.00

|
|
50

|
|
|
2000.00

|
|
50

|
|
|
2000.00

|
|
100

|
|
|
100.00

|
|
100
|

|
|
|
100.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
15000.00 |
|
|
|
Total:
|
|
6550.00
|
|
|
| Rs. In Words: SIX THOUSAND FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 529
--------------------------------------------------------------------------------------------------------------------------| Patient:
NANDUBEN ODHABHAI DABHI
Date:
09-Jul-10
|
|
|
| Address:
MITHI VIRDI, TA TALAJA DIST BVN
Gender:
F
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 5
|
750.00 |
|
|
|
|
|
| BLOOD SUGER
|

50

| 1
|

50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6600.00
|
|
|
| Rs. In Words: SIX THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 530
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHARATBHAI H PANDYA
Date:
09-Jul-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
30
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 531
--------------------------------------------------------------------------------------------------------------------------| Patient:
SATISHBHAI KISHORBHAI MAKWANA
Date:
09-Jul-10
|
|
|
| Address:
MAHUVA TA DIST BVN
Gender:
M
Age:
19
|
|
|
|
|

|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
| PRP
|
150
| 6
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4000.00
|
|
|
| Rs. In Words: FOUR THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 532
--------------------------------------------------------------------------------------------------------------------------| Patient:
KUNADNBEN D PARMAR
Date:
09-Jul-10
|
|
|
| Address:
TRAPAJ TA BHAVNAGAR DIS BHAVNAGAR
Gender:
F
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|

|
50
|

BLOOD SUGER
| 1

|
|
50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
300.00
|
|
|
| Rs. In Words: THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 533
--------------------------------------------------------------------------------------------------------------------------| Patient:
GAVUBEN T PATEL
Date:
09-Jul-10
|
|
|
| Address:
BHANDARIYA TA BHAVNAGAR DIS BHAVNAGAR
Gender:
F
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|

|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 534
--------------------------------------------------------------------------------------------------------------------------| Patient:
DEWKUBEN P JOSHI

Date:

09-Jul-10

|
|
| Address:
Gender:
F
|

BHAVNAGAR
Age:

83

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 9
|
9000.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| PULSE OXYMETER
|
300
| 2
|
600.00 |
|
|
|
|
|
| VISITING TANT CHARKES
|
8050
| 1
|
8050.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
18350.00
|
|

|
| Rs. In Words: EIGHTEEN THOUSAND THREE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 535
--------------------------------------------------------------------------------------------------------------------------| Patient:
NIRALIBEN J DOSHI
Date:
09-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
22
|
|
|
|
|
|

|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
100.00
|
|
|
| Rs. In Words: ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 536
--------------------------------------------------------------------------------------------------------------------------| Patient:
DAVALBHAI S DOSHI
Date:
09-Aug-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
28
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|

--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
300.00
|
|
|
| Rs. In Words: THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 537
--------------------------------------------------------------------------------------------------------------------------| Patient:
SATABHAI B DABHALIYA
Date:
09-Aug-10
|
|
|
| Address:
SELANA TA SAVARKUDALA DIS AMARELI
Gender:
M
Age:
30
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| VISITINGCHARKES
|
3650
| 1
|
3650.00 |
|
|
|
|
|
| M.L.C. CHARGES
|
5000
| 1
|
5000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
3000.00 |
|
|
|
Total:
|
|
7100.00
|
|

|
| Rs. In Words: SEVEN THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 538
--------------------------------------------------------------------------------------------------------------------------| Patient:
HARGAVINBHAI V JANI
Date:
09-Sep-10
|
|
|

| Address:
Gender:
M
|

BHAKHLA TA SHIHOR DIS BHAVNAGAR


Age:
55
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3.5
|
6125.00 |
|
|
|
|
|
| E. C. G.
|
150
| 5
|
750.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
10000.00 |
|
|
|
Total:
|
|
-2975.00
|
|
|
| Rs. In Words: -HUNDRED BILLION TWO HUNDRED AND NINETY SEVEN ONL
Y/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 539
--------------------------------------------------------------------------------------------------------------------------| Patient:
ANJUBEN J VAGHELA
Date:
09-Sep-10
|
|
|
| Address:
PIGALI TA TALAJA DIS BHAVNAGAR
Gender:
F
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
300
| 1
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2700.00
|
|
|
| Rs. In Words: TWO THOUSAND SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 540
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAMESHBHAI B KOLADARA
Date:
09-Sep-10
|
|
|
| Address:
KOLADRA TA BARAVALA DIS BHAVNAGAR
Gender:
M
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2100.00
|
|
|
| Rs. In Words: TWO THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 541
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHUPATBHAI NAIYA
Date:
09-Sep-10
|
|
|
| Address:
HADAYAD TA VALLBHIPUR DIS BHAVNAGAR
Gender:
M
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1600.00
|
|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED ONLY/|
------------------------------------------------------------------

---------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 542
--------------------------------------------------------------------------------------------------------------------------| Patient:
DALSUBHAI O BABHANIYA
Date:
09-Sep-10
|
|
|
| Address:
TALAJA TA TALAJA DIS BHAVNAGAR
Gender:
M
Age:
20
|

|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
200
| 7
|
1400.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3300.00
|
|
|
| Rs. In Words: THREE THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 543
--------------------------------------------------------------------------------------------------------------------------| Patient:
NANDABHAI R JETHAVA
Date:
10-Sep-10
|
|
|
| Address:
PITHALPUR TA GHOGHA DIS BHAVNAGAR
Gender:
M
Age:
47
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|

|
|
450

|
GENERAL ROOM
| 1
|

|
|
450.00

|
|
1750

|
|

I. C. U.
| 3

BLOOD SUGER
| 1

E. C. G.
| 5

|
|
5250.00

|
|
50

|
|
|
50.00

|
|
150
|

|
|
|
750.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6600.00
|
|
|
| Rs. In Words: SIX THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 544
--------------------------------------------------------------------------------------------------------------------------| Patient:
BIJALBHAI G MAKAWANA
Date:
10-Sep-10
|
|
|
| Address:
MACHUDADA TA RAJULA DIS AMARELI
Gender:
M
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|

Total:

|
1000.00

|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665

Bill No.: 545


--------------------------------------------------------------------------------------------------------------------------| Patient:
INOSHBHAI U KHURASHI
Date:
11-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
23
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 546
--------------------------------------------------------------------------------------------------------------------------| Patient:
ASHABEN J GAJAR
Date:
11-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
48
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|

Fees

Days

Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3225.00
|
|
|
| Rs. In Words: THREE THOUSAND TWO HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 547
--------------------------------------------------------------------------------------------------------------------------| Patient:
HARPALBHAI R CHUDASAMA
Date:
11-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
18
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|

|
.00 |
|
|
|
Total:

|
1000.00

|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 548
--------------------------------------------------------------------------------------------------------------------------| Patient:
ASMITABEN K DODIYA
Date:
11-Sep-10
|
|
|
| Address:
DHUDHSAR TA SHIHAR DIS BHAVNAGAR
Gender:
F
Age:
23
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGES
|
700
| 3
|
2100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5200.00
|
|
|
| Rs. In Words: FIVE THOUSAND TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 549
--------------------------------------------------------------------------------------------------------------------------| Patient:
KARASHNBHAI G DABHI
Date:
12-Sep-10
|
|
|
| Address:
NESAVAD TA JATAUBAD DIS BHAVNAGAR
Gender:
M
Age:
30
|
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
1600
| 1
|
1600.00 |
|
|
|
|
|
| GENERAL ROOM
|
1600
| 1
|
1600.00 |
|
|
|
|
|
| BLOOD SUGER
|
600
| 1
|
600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1700.00
|
|
|
| Rs. In Words: ONE THOUSAND SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 550
--------------------------------------------------------------------------------------------------------------------------| Patient:
PUNAMBENBEN G RATHOD
Date:
12-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
21
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |

|
|
1000
|

|
|

DELUXE ROOM
| 1

|
|
1000.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1100.00
|
|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 551
--------------------------------------------------------------------------------------------------------------------------| Patient:
BABUBHAI V DHANANI
Date:
12-Sep-10
|
|
|
| Address:
JARIYA TA SHIHOR DIS BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 9
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|

Total:

|
1450.00

|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 552

--------------------------------------------------------------------------------------------------------------------------| Patient:
HIRENBHAI GAJERA
Date:
12-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
20
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| VISITING CHARGES
|
600
| 1
|
600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 553
--------------------------------------------------------------------------------------------------------------------------| Patient:
MUKESHBHAI D KEVADIYA
Date:
12-Sep-10
|
|
|
| Address:
SHIVNAGAR NEAR BORTALAV BHAVNAGAR
Gender:
M
Age:
29
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 554
--------------------------------------------------------------------------------------------------------------------------| Patient:
BAGHUBEN B KOLADARA
Date:
12-Sep-10
|
|
|
| Address:
RANIVADA
Gender:
F
Age:
55
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|

|
Total:

|
1000.00

|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU

0278-2429665
Bill No.: 555
--------------------------------------------------------------------------------------------------------------------------| Patient:
MALAYBHAI N UYAS
Date:
13-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
28
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2050.00
|
|
|
| Rs. In Words: TWO THOUSAND AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 556
--------------------------------------------------------------------------------------------------------------------------| Patient:
HARPALBHAI R CHUDASAMA
Date:
13-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
18
|
|
|
|
|

|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| PRP
|
150
| 4
|
600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2050.00
|
|
|
| Rs. In Words: TWO THOUSAND AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 557
--------------------------------------------------------------------------------------------------------------------------| Patient:
BIJALBHAI G MAKAWANA
Date:
13-Sep-10
|
|
|
| Address:
MACHUDADA TA RAJULA DIS AMARELI
Gender:
M
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|

|
150
|

E. C. G.
| 1

|
|
150.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1600.00
|
|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 558
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAGHAVBHAI H THANTH
Date:
13-Sep-10
|
|
|
| Address:
SAKADASAR TA TALAJA DIS BHAVNAGAR
Gender:
M
Age:
56
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1600.00
|

|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 559
--------------------------------------------------------------------------------------------------------------------------| Patient:
NITABEN C TRIVEDI

Date:

13-Sep-10

|
| Address:
Gender:
F
|

|
GADHDA TA GADHADA DIS BHAVNAGAR
Age:
50
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 9
|
450.00 |
|
|
|
|
|
| NEBULISER
|
50
| 18
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5500.00
|
|
|
| Rs. In Words: FIVE THOUSAND FIVE HUNDRED ONLY/|
------------------------------------------------------------------

---------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 560
--------------------------------------------------------------------------------------------------------------------------| Patient:
MAHEDRBHAI H SHAH
Date:
13-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
74
|
|
|
|
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------Services Rendered
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3600.00
|
|
|
| Rs. In Words: THREE THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 561
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAMJUBEN B DESAI
Date:
13-Sep-10
|
|
|
| Address:
KHADASALIYA
Gender:
F
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|

--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 562
--------------------------------------------------------------------------------------------------------------------------| Patient:
KAILASBEN M PARAMAR
Date:
13-Sep-10
|
|
|
| Address:
ADHEVADA
Gender:
F
Age:
25
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|

1700.00

|
|
| Rs. In Words: ONE THOUSAND SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 563
--------------------------------------------------------------------------------------------------------------------------| Patient:
DROPADIBEN P VADAVANI
Date:
14-Sep-10
|

|
|
| Address:
Gender:
F
|

BHAVNAGAR
Age:

54

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 564
--------------------------------------------------------------------------------------------------------------------------| Patient:
DEVAKURBEA R RATHOD
Date:
14-Sep-10
|
|
|
| Address:
BUDHEL
Gender:
F
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|

100

| 1

100.00

|
|
450

|
GENERAL ROOM
| 1
|

|
|
450.00

|
|
50
|

|
|

NEBULISER
| 6

|
|
300.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
850.00
|
|
|
| Rs. In Words: EIGHT HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 565
--------------------------------------------------------------------------------------------------------------------------| Patient:
KANCHANBEN N DESAI
Date:
14-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 9
|
9000.00 |
|
|
|
|
|
| PULSE OXYMETER
|
300
| 9
|
2700.00 |
|
|
|
|
|
| O2 CHARGE/1 HOUR
|
200
| 9
|
1800.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
10000.00 |
|
|
|
Total:
|
|
3750.00
|
|
|
| Rs. In Words: THREE THOUSAND SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 566
--------------------------------------------------------------------------------------------------------------------------| Patient:
DHARAMSHIBHAI K DAKHARA
Date:
14-Sep-10
|
|
|
| Address:
SIDASAR TABHAVNAGAR DIS BHAVNAGAR
Gender:
M
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
-2850.00
|
|
|
| Rs. In Words: -HUNDRED BILLION TWO HUNDRED AND EIGHTY FIVE ONLY
/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 567
--------------------------------------------------------------------------------------------------------------------------| Patient:
SHAMAJIBHAI D VALA
Date:
14-Sep-10
|
|
|
| Address:
VEETAR
Gender:
M
Age:
60
|
|
|
|

|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 568
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHAVESHBHAI D MAKAWANA
Date:
14-Sep-10
|
|
|
| Address:
SARATANPAR
Gender:
M
Age:
20
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 569
--------------------------------------------------------------------------------------------------------------------------| Patient:
HAKUBEN LALLUBHAI MAKWANA
Date:
14-Sep-10
|
|
|
| Address:
PITHALPAR TA DIST BVN
Gender:
F
Age:
32
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
------------------------------------------------------------------

---------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 570
--------------------------------------------------------------------------------------------------------------------------| Patient:
KALYANBHAI T SAVANI
Date:
14-Sep-10
|
|
|

| Address:
Gender:
M
|

UMRALA
Age:

75

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1.5
|
2625.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 17
|
850.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
10000.00 |
|
|
|
Total:
|
|
-6275.00
|
|
|
| Rs. In Words: -HUNDRED BILLION SIX HUNDRED AND TWENTY SEVEN ONL
Y/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 571
--------------------------------------------------------------------------------------------------------------------------| Patient:
SHAHITABEN S KALIVALA
Date:
14-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
25
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1075.00
|
|
|
| Rs. In Words: ONE THOUSAND AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 572
--------------------------------------------------------------------------------------------------------------------------| Patient:
PANUBEN R BARAIYA
Date:
15-Sep-10
|
|
|
| Address:
SARATANPAR
Gender:
F
Age:
16
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|

|
.00 |
|
|
|
Total:

|
1600.00

|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 573
---------------------------------------------------------------------------------------------------------------------------| Patient:
BHIKHABHAI R VEGAD
Date:
15-Sep-10
|
|
|
| Address:
MADAVA
Gender:
M
Age:
45
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
| 450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
| 150
| 1
|
150.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------|
Notes: admission, general room, ecg
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1150.00
|
|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED AND FIFTY ONLY/|
---------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 574
--------------------------------------------------------------------------------------------------------------------------| Patient:
DEVAKURBEN B SACHAPARA
Date:
15-Sep-10
|
|
|
| Address:
ADHEVADA
Gender:
F
Age:
60
|
|
|
|
|

|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
100.00
|
|
|
| Rs. In Words: ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 575
--------------------------------------------------------------------------------------------------------------------------| Patient:
MALAYBHAI N UYAS
Date:
15-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
28
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
2500
| 1
|
2500.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|

|
100

CATHETOR
| 1

|
|
100.00

|
|
|
| NURSING CHARGES
|
500
| 1
|
250.00 |
|
|
|
|
|
| MEDICAL OFFICER CHARGES
|
600
| 1
|
600.00 |
|
|
|
|
|
| O2 CHARGE/1 HOUR
|
20
| 50
|
1000.00 |
|
|
|
|
|
| OTHERS
|
350
| 1
|
350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5000.00
|
|
|
| Rs. In Words: FIVE THOUSAND ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 576
---------------------------------------------------------------------------------------------------------------------------| Patient:
UAKABHAI P VAGHASHIYA
Date:
15-Sep-10
|
|
|
| Address:
SHOBHAVAD TA TALAJA DIST BVN
Gender:
M
Age:
65
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
| 450
| 0.5
|
225.00 |
|
|
|
|
|
| E. C. G.
| 150
| 1
|
150.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------|
Notes: 576
Deposit(-):
|
|
.00 |
|

|
|
Total:

|
475.00

|
|
| Rs. In Words: FOUR HUNDRED AND SEVENTY FIVE ONLY/|
---------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665

Bill No.: 577


---------------------------------------------------------------------------------------------------------------------------| Patient:
JASHODABEN S THNTH
Date:
16-Sep-10
|
|
|
| Address:
TANASA
Gender:
F
Age:
40
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
| 450
| 3.5
|
1575.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------|
Notes: AD+GE+577
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1675.00
|
|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED AND SEVENTY FIVE ONLY/|
---------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 578
--------------------------------------------------------------------------------------------------------------------------| Patient:
KANTABEN A BHATT
Date:
17-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|

Fees

Days

Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1.5
|
2625.00 |
|
|
|
|
|
| E. C. G.
|
150
| 4
|
600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3325.00
|
|
|
| Rs. In Words: THREE THOUSAND THREE HUNDRED AND TWENTY FIVE ONLY
/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 579
--------------------------------------------------------------------------------------------------------------------------| Patient:
KASHIBEN B DHAPA
Date:
17-Sep-10
|
|
|
| Address:
MATHANADA
Gender:
F
Age:
62
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 2
|
100.00 |
|
|
|
|
|

--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
650.00
|
|
|
| Rs. In Words: SIX HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 580
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAMESHBHAI D SOLANKI
Date:
17-Sep-10
|
|
|
| Address:
BHARAPARA
Gender:
M
Age:
25
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 581
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHARATBHAI N GAJJAR
Date:
17-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
23
|
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 582
--------------------------------------------------------------------------------------------------------------------------| Patient:
ASHOKBHAI J VALA
Date:
17-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|

|
150

E. C. G.
| 2

BLOOD SUGER
| 1

|
|
300.00

|
|
50
|

|
|
|
50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3950.00
|
|
|
| Rs. In Words: THREE THOUSAND NINE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 583
--------------------------------------------------------------------------------------------------------------------------| Patient:
ISHVARDAS V MORARI
Date:
17-Sep-10
|
|
|
| Address:
SHIHOR
Gender:
M
Age:
56
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| BLOOD SUGAR
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |

|
|
|
Total:

|
900.00

|
|
| Rs. In Words: NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 584

--------------------------------------------------------------------------------------------------------------------------| Patient:
JUVANBHAI L PARAMAR
Date:
18-Sep-10
|
|
|
| Address:
KATHVA TA TALAJA
Gender:
M
Age:
28
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2050.00
|
|
|
| Rs. In Words: TWO THOUSAND AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 585
--------------------------------------------------------------------------------------------------------------------------| Patient:
PREMILABEN K SOLANKI
Date:
18-Sep-10
|
|
|
| Address:
SHIHOR
Gender:
F
Age:
60
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------

Fees

Services Rendered
Days
|

|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| NEBULISER
|
50
| 5
|
250.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
3000.00 |
|
|
|
Total:
|
|
-2200.00
|
|
|
| Rs. In Words: -HUNDRED BILLION TWO HUNDRED AND TWENTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 586
--------------------------------------------------------------------------------------------------------------------------| Patient:
MANSUKHBHAI D PATEL
Date:
18-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
55
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|

|
50
|

BLOOD SUGER
| 1

|
|
50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2200.00
|
|
|
| Rs. In Words: TWO THOUSAND TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 587
--------------------------------------------------------------------------------------------------------------------------| Patient:
PRABHASHNKARBHAI K
Date:
18-Sep-10
|
|
|
| Address:
KHRAKADI TA GHOGHA DIS BHA
Gender:
M
Age:
98
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
10000.00 |
|
|
|
Total:
|
|
-9900.00
|
|
|
| Rs. In Words: -HUNDRED BILLION NINE HUNDRED AND NINETY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 588
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAYSHRIBEN N GOHIL
Date:
18-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
37
|
|

|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 589
--------------------------------------------------------------------------------------------------------------------------| Patient:
LILABEN J KHRALA
Date:
18-Sep-10
|
|
|
| Address:
CHOGATH
Gender:
F
Age:
38
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |

|
|
|
| BLOOD TRANFUSION
|
300
| 4
|
1200.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2200.00
|
|
|
| Rs. In Words: TWO THOUSAND TWO HUNDRED ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 590
--------------------------------------------------------------------------------------------------------------------------| Patient:
MAVAJIBHAI K MER
Date:
19-Sep-10
|
|
|
| Address:
RATANPAR
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 2
|
100.00 |
|
|

|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
-2200.00
|
|
|
| Rs. In Words: -HUNDRED BILLION TWO HUNDRED AND TWENTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU

0278-2429665
Bill No.: 591
--------------------------------------------------------------------------------------------------------------------------| Patient:
ASHOKBHAI D CHAUHAN
Date:
19-Sep-10
|
|
|
| Address:
DEVGANA TA SIHOR DIST BVN
Gender:
M
Age:
28
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3100.00
|
|
|
| Rs. In Words: THREE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 592
--------------------------------------------------------------------------------------------------------------------------| Patient:
ABHAYBHAI D CHAUHAN
Date:
19-Sep-10
|
|
|
| Address:
DEVAGNA TA SHIHOR DIS BHAVNAGAR
Gender:
M
Age:
28
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------

Fees

Services Rendered
Days
|

|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3100.00
|
|
|
| Rs. In Words: THREE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 593
--------------------------------------------------------------------------------------------------------------------------| Patient:
PREMJIBHAI DEVRAJBHAI VIRADIYA
Date:
19-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
47
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| GENERAL ROOM
|

450

| 1
|

450.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4500.00
|
|
|
| Rs. In Words: FOUR THOUSAND FIVE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 594
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHARATSINH B GOHIL
Date:
19-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
55
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2200.00
|

|
|
| Rs. In Words: TWO THOUSAND TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 595
--------------------------------------------------------------------------------------------------------------------------| Patient:
DR JIGNABEN JOSHI
Date:
19-Sep-10
|
|

|
| Address:
Gender:
F
|

MAHUVA

DIS BHAVNAGAR
Age:
36

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 4
|
4000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4100.00
|
|
|
| Rs. In Words: FOUR THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 596
--------------------------------------------------------------------------------------------------------------------------| Patient:
LAXAMANBHAI D MORADIYA
Date:
19-Sep-10
|
|
|
| Address:
ANIDA
Gender:
M
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |

|
|

|
450
|

GENERAL ROOM
| 6
|

|
|
2700.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2800.00
|
|
|
| Rs. In Words: TWO THOUSAND EIGHT HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 597
--------------------------------------------------------------------------------------------------------------------------| Patient:
HARIMALBHAI D NAKAPAL
Date:
19-Sep-10
|
|
|
| Address:
JAMANAGAR
Gender:
M
Age:
78
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1900.00
|
|

|
| Rs. In Words: ONE THOUSAND NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 598
---------------------------------------------------------------------------------------------------------------------------

|
Date:

Patient:
ASHOKBHAI J
20-Sep-10

VALA
|

|
| Address:
Gender:
M
|

|
DHOLA TA UMRALA DIST BVN
Age:
40
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1.5
|
2625.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| NEBULISER
|
50
| 6
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3175.00
|
|
|
| Rs. In Words: THREE THOUSAND ONE HUNDRED AND SEVENTY FIVE ONLY/
|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 599
--------------------------------------------------------------------------------------------------------------------------| Patient:
DAVALBEN K KUKADIYA
Date:
20-Sep-10
|
|
|
| Address:
RPYAL TA TALAJA DIS BHAVNAGAR
Gender:
F
Age:
102
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|

Fees

Days

Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1600.00
|
|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 600
--------------------------------------------------------------------------------------------------------------------------| Patient:
LAXAMANABHAI D MAGUKIYA
Date:
20-Sep-10
|
|
|
| Address:
DADAVA
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|

|
.00 |
|
|
|
Total:

|
1450.00

|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 601
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAMKUVARBEN R JOSHI
Date:
20-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
30
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| ENDOTRACHEAL TUBE
|
300
| 1
|
300.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1425.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND TWENTY FIVE ONLY/-

|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 602
--------------------------------------------------------------------------------------------------------------------------| Patient:
PACHABHAI V BABHANIYA
Date:
20-Sep-10
|
|
|
| Address:
DIHOR TA TALAJA DIS BHAVNAGAR
Gender:
M
Age:
50
|

|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| VISITING DR CHARGES
|
1100
| 2
|
2200.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4600.00
|
|
|
| Rs. In Words: FOUR THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 603
--------------------------------------------------------------------------------------------------------------------------| Patient:
VIRABHAI L BARAVAL
Date:
21-Sep-10
|
|
|
| Address:
CHODI TA TALAJA BHAVANAGAR
Gender:
M
Age:
85
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|

100

| 1

100.00

|
|
450

|
GENERAL ROOM
| 1
|

|
|
450.00

|
|
50

|
|

BLOOD SUGER
| 1

DR CHARGES
| 1

|
|
50.00

|
|
1100
|

|
|
|
1100.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1700.00
|
|
|
| Rs. In Words: ONE THOUSAND SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 604
--------------------------------------------------------------------------------------------------------------------------| Patient:
VIKRAMSINH V SINDHI
Date:
21-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|

|
100

CATHETOR
| 1

|
|

100.00

|
|
|
| MEDICAL OFFICER CHARGES
|
300
| 3
|
900.00 |
|
|
|
|
|
| NURSING CHARGES
|
250
| 3
|
750.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6100.00
|
|
|
| Rs. In Words: SIX THOUSAND ONE HUNDRED ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 605
--------------------------------------------------------------------------------------------------------------------------| Patient:
ARCHANABEN D PATHAK
Date:
21-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
48
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| CONSULTANT DR CHARGES
|
1100
| 2
|
2200.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|

|
4450.00

|
|
| Rs. In Words: FOUR THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 606
--------------------------------------------------------------------------------------------------------------------------| Patient:
DOLARBHAI M PATHAK

Date:

21-Sep-10

|
|
| Address:
Gender:
M
|

BHAVNAGAR
Age:

52

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| CONSULTANT DR CHARGES
|
1100
| 2
|
2200.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4450.00
|
|
|
| Rs. In Words: FOUR THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 607
--------------------------------------------------------------------------------------------------------------------------| Patient:
HIRENBHAI GIRISHBHAI PANDYA
Date:
21-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
25
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 608
--------------------------------------------------------------------------------------------------------------------------| Patient:
MUKESHBHAI S KHIMANI
Date:
21-Sep-10
|
|
|
| Address:
THORALI
Gender:
M
Age:
22
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| PRP
|
150
| 7
|
1050.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:

Deposit(-):
|

|
.00 |

|
|
|
Total:

|
3150.00

|
|
| Rs. In Words: THREE THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 609
--------------------------------------------------------------------------------------------------------------------------| Patient:
JYOTSABEN GANDHI
Date:
21-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
59
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
300
| 4
|
1200.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3100.00
|
|
|
| Rs. In Words: THREE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 610
--------------------------------------------------------------------------------------------------------------------------| Patient:
VINUBHA J GOHIL
Date:
22-Sep-10
|
|
|
| Address:
KHRAKADI TA GHOGHA DIS BHA
Gender:
M
Age:
62
|
|
|
|

|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 611
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHAVANBHAI D DUGARALIYA
Date:
22-Sep-10
|
|
|
| Address:
DEVAGNA TA SHIHOR DIS BHAVNAGAR
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|

|
150
|

E. C. G.
| 1

|
|

150.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1600.00
|
|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 612
--------------------------------------------------------------------------------------------------------------------------| Patient:
HIMMTBHAI B BHATT
Date:
22-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
42
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
------------------------------------------------------------------

---------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 613
--------------------------------------------------------------------------------------------------------------------------| Patient:
P00JABEN K KUKADEJA
Date:
22-Sep-10
|
|
|

| Address:
Gender:
F
|

BHAVNAGAR
Age:

16

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
3000.00 |
|
|
|
Total:
|
|
-2000.00
|
|
|
| Rs. In Words: -HUNDRED BILLION TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 614
--------------------------------------------------------------------------------------------------------------------------| Patient:
UMESHBHAI B GOHIL
Date:
22-Sep-10
|
|
|
| Address:
MAHUVA TA TALAJA DIS BHAVNAGAR
Gender:
M
Age:
23
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|

|
|
450

|
GENERAL ROOM
| 7
|

|
|
3150.00

|
|
100
|

|
|

PRP
| 8

|
|
800.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
3000.00 |
|
|
|
Total:
|
|
1050.00
|
|
|
| Rs. In Words: ONE THOUSAND AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 615
--------------------------------------------------------------------------------------------------------------------------| Patient:
JANMAYBHAI A BHATT
Date:
22-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
10
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3.5
|
3500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3600.00
|

|
|
| Rs. In Words: THREE THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 616
-------------------------------------------------------------------

--------------------------------------------------------| Patient:
HANSABEN N
Date:
22-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
40
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 4
|
4000.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
350
| 2
|
700.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4800.00
|
|
|
| Rs. In Words: FOUR THOUSAND EIGHT HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 617
--------------------------------------------------------------------------------------------------------------------------| Patient:
DHANJIBHAI BARAIYA
Date:
22-Sep-10
|
|
|
| Address:
DHOLERA
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
3000.00 |
|
|
|
Total:
|
|
-2300.00
|
|
|
| Rs. In Words: -HUNDRED BILLION TWO HUNDRED AND THIRTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 618
--------------------------------------------------------------------------------------------------------------------------| Patient:
KIRANBEN S PAJAVANI
Date:
23-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
32
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| RYLES TUBE
|

100

| 1

CATHETOR
| 1

100.00

|
|
100
|

|
|
|
100.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4800.00
|
|
|
| Rs. In Words: FOUR THOUSAND EIGHT HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 619
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHATURBHAI D BHUT
Date:
23-Sep-10
|
|
|
| Address:
UKHALA
Gender:
M
Age:
17
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 620
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHAGAVANBHAI P LUKHI
Date:
23-Sep-10
|
|
|
| Address:
GOLRAMA,TA UMRALA,DIST BHAVNAGAR
Gender:
M
Age:
70
|

|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
-1525.00
|
|
|
| Rs. In Words: -HUNDRED BILLION ONE HUNDRED AND FIFTY TWO ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 621
--------------------------------------------------------------------------------------------------------------------------| Patient:
LALITABEN H PANDAYA
Date:
23-Sep-10
|
|
|
| Address:
GADHADA TA TALAJA DIS BHAVNAGAR
Gender:
F
Age:
42
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|

100

| 1

100.00

|
|
450
|

|
GENERAL ROOM
| 2
|

|
|
900.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 622
--------------------------------------------------------------------------------------------------------------------------| Patient:
LALITABEN H PANDAYA
Date:
23-Sep-10
|
|
|
| Address:
GADHADA TA TALAJA DIS BHAVNAGAR
Gender:
F
Age:
42
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|

|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 623
-------------------------------------------------------------------

--------------------------------------------------------| Patient:
LALABHAI H BABRIYA
Date:
23-Sep-10
|
|
|
| Address:
KRAMADYA
Gender:
M
Age:
20
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 624
--------------------------------------------------------------------------------------------------------------------------| Patient:
GOPALJI BHAI D GOHIL
Date:
23-Sep-10
|
|
|
| Address:
NASIYA TATALAJA DIS BHAVAGAR
Gender:
M
Age:
76
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|

---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4100.00
|
|
|
| Rs. In Words: FOUR THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 625
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHAGVANSING BALSING
Date:
24-Sep-10
|
|
|
| Address:
BHAVANAGAR
Gender:
M
Age:
28
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|

3000.00 |
|
|
|
Total:

|
-1550.00

|
|
| Rs. In Words: -HUNDRED BILLION ONE HUNDRED AND FIFTY FIVE ONLY/
|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 626
--------------------------------------------------------------------------------------------------------------------------| Patient:
KHIMABHAI M RATHOD
Date:
24-Sep-10
|
|
|
| Address:
PALITANA
Gender:
M
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| MONITOR CHARGES(NON I. C. U. PATIENT)
|
350
| 2
|
700.00 |
|
|
|
|
|
| D. C. SHOCK
|
1000
| 1
|
1000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|

|
Total:

|
6650.00

|
|
| Rs. In Words: SIX THOUSAND SIX HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 627
--------------------------------------------------------------------------------------------------------------------------| Patient:
NARENDRBHAI B GOHIL
Date:
24-Sep-10
|
|
|

| Address:
Gender:
M
|

VADOD
Age:

45

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| BLOOD TRANFUSION
|
300
| 3
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5975.00
|
|
|
| Rs. In Words: FIVE THOUSAND NINE HUNDRED AND SEVENTY FIVE ONLY/
|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 628
--------------------------------------------------------------------------------------------------------------------------| Patient:
LAXMANBHAI S JETHAVA
Date:
24-Sep-10
|
|
|
| Address:
PITHALPAR TA DIST BVN
Gender:
M
Age:
31
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 629
--------------------------------------------------------------------------------------------------------------------------| Patient:
LAXMANBHAI S JETHAVA
Date:
24-Sep-10
|
|
|
| Address:
PITHALPAR TA DIST BVN
Gender:
M
Age:
31
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| GENERAL ROOM
|

450

| 1

DELUXE ROOM
| 1

E. C. G.
| 2

BLOOD SUGER
| 1

E. C. G.
| 1

450.00

|
|
1000

|
|
|
1000.00

|
|
150

|
|
|
300.00

|
|
50

|
|
|
50.00

|
|
150

|
|
150.00

|
|
|
| CONSULTANT DR CHARGES
|
2450
| 1
|
2450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
850.00
|
|
|
| Rs. In Words: EIGHT HUNDRED AND FIFTY ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 630
--------------------------------------------------------------------------------------------------------------------------| Patient:
ANJAVALIBEN M DHAMALIYA
Date:
24-Sep-10
|
|
|
| Address:
RAJAPARA
Gender:
F
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|

550.00

|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 631

--------------------------------------------------------------------------------------------------------------------------| Patient:
VASANTBEN SHIVSHANKAR RATHOD
Date:
24-Sep-10
|
|
|
| Address:
RAJASTHALI TA TALAJA DIST BVN
Gender:
F
Age:
30
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1.5
|
2625.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2775.00
|
|
|
| Rs. In Words: TWO THOUSAND SEVEN HUNDRED AND SEVENTY FIVE ONLY/
|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 632
--------------------------------------------------------------------------------------------------------------------------| Patient:
VALABHAI K MAKAVANA
Date:
24-Sep-10
|
|
|
| Address:
BHAIKADA
Gender:
M
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|

Fees

Days

Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 633
--------------------------------------------------------------------------------------------------------------------------| Patient:
VIRUBEN JIVABHAI DANKHRA
Date:
25-Sep-10
|
|
|
| Address:
BELA TA TALAJA DIST BHAVNAGAR
Gender:
F
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1.5
|
2625.00 |

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
-2075.00
|
|
|
| Rs. In Words: -HUNDRED BILLION TWO HUNDRED AND SEVEN ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 634
--------------------------------------------------------------------------------------------------------------------------| Patient:
PARESHBHAI R BHARAVAD
Date:
25-Sep-10
|
|
|
| Address:
GIRIPARA TA GHOGHA DIST BHAVANAGAR
Gender:
M
Age:
17
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
775.00
|
|
|
| Rs. In Words: SEVEN HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 635
--------------------------------------------------------------------------------------------------------------------------| Patient:
SAJANBEN V VEGAD
Date:
26-Sep-10
|
|
|
| Address:
KANAPAR TA VALLBHAIPAR DIST BHAVANAGAR
Gender:
F
Age:
42
|
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
475.00
|
|
|
| Rs. In Words: FOUR HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 636
--------------------------------------------------------------------------------------------------------------------------| Patient:
SAJANBEN V VEGAD
Date:
26-Sep-10
|
|
|
| Address:
KANAPAR TA VALLBHAIPAR DIST BHAVANAGAR
Gender:
F
Age:
42
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|

450

| 0.5

E. C. G.
| 2

225.00

|
|
150
|

|
|
|
300.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
625.00
|
|
|
| Rs. In Words: SIX HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 637
--------------------------------------------------------------------------------------------------------------------------| Patient:
PARESHBHAI R BHARAVAD
Date:
26-Sep-10
|
|
|
| Address:
GIRIPARA TA GHOGHA DIST BHAVANAGAR
Gender:
M
Age:
17
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
775.00
|
|
|

| Rs. In Words: SEVEN HUNDRED AND SEVENTY FIVE ONLY/|


--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 638
--------------------------------------------------------------------------------------------------------------------------| Patient:
VALABHAI K MAKAVANA

Date:

26-Sep-10

|
|
| Address:
Gender:
M
|

BHAIKADA
Age:

50

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1225.00
|
|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 639
--------------------------------------------------------------------------------------------------------------------------| Patient:
VIRUBEN JIVABHAI DANKHRA
Date:
26-Sep-10
|
|
|
| Address:
BELA TA TALAJA DIST BHAVNAGAR
Gender:
F
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
----------------------------------------------------------------------------------------------------------------------------

|
100

ADMISSION CHARGE
| 1
|

|
100.00

|
|
1750

|
|

I. C. U.
| 1

|
|
1750.00

|
|
450

|
GENERAL ROOM
| 2
|

|
|
900.00

|
|
150
|

|
|

E. C. G.
| 1

|
|
150.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
-2100.00
|
|
|
| Rs. In Words: -HUNDRED BILLION TWO HUNDRED AND TEN ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 640
--------------------------------------------------------------------------------------------------------------------------| Patient:
KARUNASHAKARBHAI M LADHAVA
Date:
26-Sep-10
|
|
|
| Address:
RALAGON
Gender:
M
Age:
61
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|

|
|
450
|

|
GENERAL ROOM
| 1
|

|
|
450.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2650.00
|
|
|
| Rs. In Words: TWO THOUSAND SIX HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 641
--------------------------------------------------------------------------------------------------------------------------| Patient:
TRUPTIBEN VINODKUMAR JOSHI
Date:
26-Sep-10
|
|
|
| Address:
TANA TA SIHOR DIST BVN
Gender:
F
Age:
27
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| I. V. DRIP
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
150.00
|
|
|
| Rs. In Words: ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 642
--------------------------------------------------------------------------------------------------------------------------| Patient:
HIRENBHAI GAJERA
Date:
26-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
20
|
|
|
|
|

|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 643
--------------------------------------------------------------------------------------------------------------------------| Patient:
ASAMITANEN B BALAR
Date:
26-Sep-10
|
|
|
| Address:
BAPADA TA TALAJA DIST BHAVNAGAR
Gender:
F
Age:
30
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| GENERAL ROOM
|

450

| 0.5
|

225.00

|
|
|
| MEDICAL OFFICER CHARGES
|
300
| 1
|
300.00 |
|
|
|
|
|
| NURSING CHARGES
|
250
| 1
|
250.00 |
|
|
|
|
|
| O2 CHARGE/1 HOUR
|
20
| 10
|
200.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
-3050.00
|
|
|
| Rs. In Words: -HUNDRED BILLION THREE HUNDRED AND FIVE ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 644
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAMUBEN B DHAMALIYA
Date:
26-Sep-10
|
|
|
| Address:
RAJAPARA
Gender:
F
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1.5
|
2625.00 |
|
|
|
|
|
| VENTILATOR(INVESIVE)
|
2500
| 1
|
2500.00 |
|
|
|
|
|
| ENDOTRACHEAL TUBE
|
300
| 1
|
300.00 |
|
|
|
|
|
| D. C. SHOCK
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| CATHETOR
|

100

| 1

BLOOD SUGER
| 1

E. C. G.
| 1

100.00

|
|
50

|
|
|
50.00

|
|
150

|
|
150.00

|
|
|
| MEDICAL OFFICER CHARGES
|
300
| 1.5
|
450.00 |
|
|
|
|
|
| NURSING CHARGES
|
250
| 1.5
|
375.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
8650.00
|
|
|
| Rs. In Words: EIGHT THOUSAND SIX HUNDRED AND FIFTY ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 645
--------------------------------------------------------------------------------------------------------------------------| Patient:
ALPABEN D
GOHIL
Date:
26-Sep-10
|
|
|
| Address:
JASAPARA
Gender:
F
Age:
23
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
2000
| 3
|
6000.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| MEDICAL OFFICER CHARGES
|
300
| 2
|
600.00 |
|
|
|
|
|
| NURSING CHARGES
|
250
| 2
|
500.00 |

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
7550.00
|
|
|
| Rs. In Words: SEVEN THOUSAND FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665

Bill No.: 646


--------------------------------------------------------------------------------------------------------------------------| Patient:
INOSHBHAI U KHURASHI
Date:
26-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
23
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| MEDICAL OFFICER CHARGES
|
300
| 1
|
300.00 |
|
|
|
|
|
| NURSING CHARGES
|
250
| 1
|
250.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2550.00
|

|
|
| Rs. In Words: TWO THOUSAND FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 647
--------------------------------------------------------------------------------------------------------------------------| Patient:
HANSABEN R VAGHAVANI
Date:
26-Sep-10
|
|
|
| Address:
D0LTI TA SAVARAKUDALA DIS BHAVANAGAR
Gender:
F
Age:
32
|
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
325.00
|
|
|
| Rs. In Words: THREE HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 648
--------------------------------------------------------------------------------------------------------------------------| Patient:
BIJALBHAI G MAKAWANA
Date:
26-Sep-10
|
|
|
| Address:
MACHUDADA TA RAJULA DIS AMARELI
Gender:
M
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|

|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 649
--------------------------------------------------------------------------------------------------------------------------| Patient:
NANDABHAI R JETHAVA
Date:
26-Sep-10
|
|
|
| Address:
PITHALPUR TA GHOGHA DIS BHAVNAGAR
Gender:
M
Age:
47
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| E. C. G.
|
150
| 5
|
750.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|

|
6150.00

|
|
| Rs. In Words: SIX THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 650
--------------------------------------------------------------------------------------------------------------------------| Patient:
RUPABEN G BARAIYA

Date:

26-Sep-10

|
| Address:
Gender:
F
|

|
SURAKA TA GHOGHA DIS BHAVNAGAR
Age:
68
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
750.00
|
|
|
| Rs. In Words: SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 651
--------------------------------------------------------------------------------------------------------------------------| Patient:
ASMITABEN K DODIYA
Date:
26-Sep-10
|
|
|
| Address:
DHUDHSAR TA SHIHAR DIS BHAVNAGAR
Gender:
F
Age:
23
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|

---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3100.00
|
|
|
| Rs. In Words: THREE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 652
--------------------------------------------------------------------------------------------------------------------------| Patient:
BALAMUNKUDBHAI R GOND
Date:
26-Sep-10
|
|
|
| Address:
ALAG TA BHAVNAGAR DIS BHAVNAGAR
Gender:
M
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|

Total:

|
1450.00

|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665

Bill No.: 653


--------------------------------------------------------------------------------------------------------------------------| Patient:
NIRAJNBHAI R BHATT
Date:
26-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 4
|
4000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| PULSE OXYMETER
|
300
| 4
|
1200.00 |
|
|
|
|
|
| O2 CHARGE/1 HOUR
|
200
| 4
|
800.00 |
|
|
|
|
|
| NEBULISER
|
50
| 19
|
950.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|
|
|
|

--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
10000.00 |
|
|
|
Total:
|
|
-700.00
|
|
|
| Rs. In Words: -HUNDRED BILLION AND SEVENTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 654
--------------------------------------------------------------------------------------------------------------------------| Patient:
MUKESHBHAI
M SOLANKI
Date:
27-Sep-10
|

|
|
| Address:
Gender:
M
|

ADHEVADA
Age:

21

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
500
| 2.5
|
1250.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1500.00
|
|
|
| Rs. In Words: ONE THOUSAND FIVE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 655
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAJUBHAI G PANDIY
Date:
27-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
24
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 656
--------------------------------------------------------------------------------------------------------------------------| Patient:
MEET M BHATT
Date:
27-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
16
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGES
|
700
| 3
|
2100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |

|
|
|
Total:

|
200.00

|
|
| Rs. In Words: TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU

0278-2429665
Bill No.: 657
--------------------------------------------------------------------------------------------------------------------------| Patient:
JASUBEN L. VARU
Date:
27-Sep-10
|
|
|
| Address:
KOBADI, TA DIST BVN
Gender:
F
Age:
26
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| PRP
|
100
| 6
|
600.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2200.00
|
|
|
| Rs. In Words: TWO THOUSAND TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 658
--------------------------------------------------------------------------------------------------------------------------| Patient:
GOPAL VARU
Date:
27-Sep-10
|
|
|
| Address:
KOBADI, TA DIST BVN
Gender:
M
Age:
15
|
|
|
|
|

|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
2000.00 |
|
|
|
Total:
|
|
-100.00
|
|
|
| Rs. In Words: -HUNDRED BILLION AND TEN ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 659
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHAKUBEN D MAKAWANA
Date:
27-Sep-10
|
|
|
| Address:
BORALA
Gender:
F
Age:
30
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
| E. C. G.
|

150

| 1
|

150.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2050.00
|
|
|
| Rs. In Words: TWO THOUSAND AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 660
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAJABHAI J BALAR
Date:
27-Sep-10
|
|
|
| Address:
BAPADA TA TALAJA DIST BHAVNAGAR
Gender:
M
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| E. C. G.
|
150
| 4
|
600.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 2
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|

|
1050.00

|
|
| Rs. In Words: ONE THOUSAND AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 661
--------------------------------------------------------------------------------------------------------------------------| Patient:
DEVAKURBEN M GHORI

Date:

27-Sep-10

|
|
| Address:
Gender:
F
|

BHADARIYA
Age:

50

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| ISOLATION ROOM
|
1750
| 9
|
15750.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 45
|
2250.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGES
|
6750
| 1
|
6750.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
25000.00
|
|
|
| Rs. In Words: TWENTY FIVE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 662
--------------------------------------------------------------------------------------------------------------------------| Patient:
MUKESHBHAI G BHATT
Date:
27-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
41
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|

Fees

Days

Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2100.00
|
|
|
| Rs. In Words: TWO THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 663
--------------------------------------------------------------------------------------------------------------------------| Patient:
KHADABHAI O MAKAWANA
Date:
28-Sep-10
|
|
|
| Address:
ADHEVADA
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |

|
|
150
|

|
|

E. C. G.
| 1

|
|
150.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2550.00
|
|
|
| Rs. In Words: TWO THOUSAND FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 664
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHAMPABEN M VAGHELA
Date:
28-Sep-10
|
|
|
| Address:
ROYAL
Gender:
F
Age:
17
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4.5
|
2025.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2125.00
|
|
|
| Rs. In Words: TWO THOUSAND ONE HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 665
--------------------------------------------------------------------------------------------------------------------------| Patient:
VARUNBHAI A PATEL
Date:
29-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
20
|
|

|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 4
|
4000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| VISITING DR CHARGES
|
3950
| 1
|
3950.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
3350.00
|
|
|
| Rs. In Words: THREE THOUSAND THREE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 666
--------------------------------------------------------------------------------------------------------------------------| Patient:
HANSABEN R VAGHAMASI
Date:
29-Sep-10
|
|
|
| Address:
DOLATI
Gender:
F
Age:
30
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |

|
|

|
450
|

GENERAL ROOM
| 6
|

|
|
2700.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2800.00
|
|
|
| Rs. In Words: TWO THOUSAND EIGHT HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 667
--------------------------------------------------------------------------------------------------------------------------| Patient:
PRAVINBHAI L DHADHLIYA
Date:
29-Sep-10
|
|
|
| Address:
MANAR
Gender:
M
Age:
32
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| PRP
|
150
| 4
|
600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|

Total:

|
2700.00

|
|
| Rs. In Words: TWO THOUSAND SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 668

--------------------------------------------------------------------------------------------------------------------------| Patient:
DIGVIJAYSINH GOHIL
Date:
29-Sep-10
|
|
|
| Address:
PADAVA TA GHOGHA DIS BHAVNAGAR
Gender:
M
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 669
--------------------------------------------------------------------------------------------------------------------------| Patient:
KHODABHAI GHELABHAI DABHI
Date:
29-Sep-10
|
|
|
| Address:
TANSA TA GHOGHA DIST BVN
Gender:
M
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| NEBULISER
|
50
| 6
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 670
--------------------------------------------------------------------------------------------------------------------------| Patient:
HANSABEN K ITALIYA
Date:
29-Sep-10
|
|
|
| Address:
MANAR
Gender:
F
Age:
30
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|

|
3000.00 |
|
|
|
Total:

|
-1550.00

|
|
| Rs. In Words: -HUNDRED BILLION ONE HUNDRED AND FIFTY FIVE ONLY/
|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 671
--------------------------------------------------------------------------------------------------------------------------| Patient:
VIPULBHARATI
Date:
30-Sep-10
|
|
|
| Address:
JUNAGADH
Gender:
M
Age:
20
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 672
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHIKHABHAI NARBHERAMBHAI RAMNA
Date:
30-Sep-10
|
|
|
| Address:
CHUDI TA TALAJA DIST BVN
Gender:
M
Age:
45
|
|
|
|
|

|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1600.00
|
|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 673
--------------------------------------------------------------------------------------------------------------------------| Patient:
LALITABEN H PANDAYA
Date:
30-Sep-10
|
|
|
| Address:
GADHADA TA TALAJA DIS BHAVNAGAR
Gender:
F
Age:
42
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|

|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 674
--------------------------------------------------------------------------------------------------------------------------| Patient:
HIRENBHAI D DEVANI
Date:
30-Sep-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
18
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 675
--------------------------------------------------------------------------------------------------------------------------| Patient:
POONAMBEN G HASOLIYA
Date:
30-Sep-10
|
|
|
| Address:
BHAVNAGAR

Gender:
|

Age:

23

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 0.5
|
225.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
325.00
|
|
|
| Rs. In Words: THREE HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 676
--------------------------------------------------------------------------------------------------------------------------| Patient:
GAJANANBHAI MAHASHANKARBHAI DHANDHALYA
Date:
30-Oct-10
|
|
|
| Address:
DEVLI TA TALAJA DIST BHAVNAGAR
Gender:
M
Age:
23
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|

|
450
|

GENERAL ROOM
| 2
|

|
900.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 677
--------------------------------------------------------------------------------------------------------------------------| Patient:
JETHIBEN PARMANANDBHAI AAHUJA
Date:
01-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 7
|
350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|

|
|
Total:

|
4400.00

|
|
| Rs. In Words: FOUR THOUSAND FOUR HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 678

--------------------------------------------------------------------------------------------------------------------------| Patient:
RITABEN ANANTRAI SHAH
Date:
01-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
51
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| VISITING DR CHARGES
|
1100
| 2
|
2200.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4450.00
|
|
|
| Rs. In Words: FOUR THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 679
--------------------------------------------------------------------------------------------------------------------------| Patient:
MULIBEN BACHUBHAI BALAR
Date:
01-Oct-10
|
|
|
| Address:
SAKHPAR TA GARIADHAR DIST BVN
Gender:
F
Age:
80
|
|
|
|
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------Services Rendered
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5750.00
|
|
|
| Rs. In Words: FIVE THOUSAND SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 680
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHUMIBEN JETHURBHAI KHARAL
Date:
01-Oct-10
|
|
|
| Address:
ALANG TA TALAJA DIST BVN
Gender:
F
Age:
11
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|

450

| 2
|

900.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 681
--------------------------------------------------------------------------------------------------------------------------| Patient:
KADUBEN CHOTHABHAI GOHEL
Date:
01-Oct-10
|
|
|
| Address:
BUDHANA TA SIHOR DIST BVN
Gender:
F
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|

--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 682
--------------------------------------------------------------------------------------------------------------------------| Patient:
ANUBEN BACHUBHAI JANI
Date:
01-Oct-10
|
|

| Address:
Gender:
F
|

|
SATHARA TA TALAJA DIST BVN
Age:
70
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1250.00
|
|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 683
--------------------------------------------------------------------------------------------------------------------------| Patient:
MULIBEN BACHUBHAI BALAR
Date:
01-Oct-10
|
|
|
| Address:
SAKHPAR TA GARIADHAR DIST BVN
Gender:
F
Age:
80
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
----------------------------------------------------------------------------------------------------------------------------

|
100

ADMISSION CHARGE
| 1
|

|
100.00

|
|
1750

|
|

I. C. U.
| 3

E. C. G.
| 1

BLOOD SUGER
| 1

RYLES TUBE
| 1

CATHETOR
| 1

|
|
5250.00

|
|
150

|
|
|
150.00

|
|
50

|
|
|
50.00

|
|
100

|
|
|
100.00

|
|
100
|

|
|
|
100.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5750.00
|
|
|
| Rs. In Words: FIVE THOUSAND SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 684
--------------------------------------------------------------------------------------------------------------------------| Patient:
FAIZALKHAN ASHRAMBHAI
Date:
01-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
13
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
500
| 1
|
500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|

--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
750.00
|
|
|
| Rs. In Words: SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 685
--------------------------------------------------------------------------------------------------------------------------| Patient:
VANMALABEN N BHATT
Date:
01-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
62
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|

Total:

|
1675.00

|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 686
--------------------------------------------------------------------------------------------------------------------------| Patient:
VINUBA DANSINH SOLANKI
Date:
02-Oct-10
|
|

|
| Address:
Gender:
M
|

BHAVNAGAR
Age:

35

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 687
--------------------------------------------------------------------------------------------------------------------------| Patient:
SHANTUBEN TULSIBHAI VAGHANI
Date:
02-Oct-10
|
|
|
| Address:
SHAHPUR TA VALLABHIPUR DIST BVN
Gender:
F
Age:
55
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |

|
|
1750

|
|

I. C. U.
| 2

|
|
3500.00

|
|
|
| MEDICAL OFFICER CHARGES
|
300
| 3
|
900.00 |
|
|
|
|
|
| NURSING CHARGES
|
250
| 3
|
750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 4
|
600.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1.5
|
1500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
7350.00
|
|
|
| Rs. In Words: SEVEN THOUSAND THREE HUNDRED AND FIFTY ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 688
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHAGESHVARIBEN
Date:
02-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 6
|
300.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------

|
Notes:
Deposit(-):
|

|
.00 |

|
|
|
Total:

|
2200.00

|
|
| Rs. In Words: TWO THOUSAND TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 689
--------------------------------------------------------------------------------------------------------------------------| Patient:
HASAMUKHBHAI L GOTI
Date:
02-Oct-10
|
|
|
| Address:
UAJALVAV
Gender:
M
Age:
32
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 5
|
2250.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2350.00
|
|
|
| Rs. In Words: TWO THOUSAND THREE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 690
--------------------------------------------------------------------------------------------------------------------------| Patient:
LAXANBHAI S MER
Date:
02-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|

|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 7
|
1050.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
7350.00
|
|
|
| Rs. In Words: SEVEN THOUSAND THREE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 691
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAYESHBHAI BALSHANKARBHAI DHANDHALYA
Date:
02-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
18
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|

|
450
|

GENERAL ROOM
| 2
|

|
900.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 692
---------------------------------------------------------------------------------------------------------------------------| Patient:
RUSHIRAJSINH D RATHOD
Date:
02-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
14
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
| 450
| 5
|
2250.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------|
Notes: 692
Deposit(-):
|
|
3000.00 |
|
|
|
Total:
|
|
-650.00
|
|
|
| Rs. In Words: -HUNDRED BILLION AND SIXTY FIVE ONLY/-

|
---------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 693
--------------------------------------------------------------------------------------------------------------------------| Patient:
ANUBEN BACHUBHAI JANI
Date:
02-Oct-10
|

|
| Address:
Gender:
F
|

|
SATHARA TA TALAJA DIST BVN
Age:
70
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1300.00
|
|
|
| Rs. In Words: ONE THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 694
--------------------------------------------------------------------------------------------------------------------------| Patient:
ANUBEN BACHUBHAI JANI
Date:
02-Oct-10
|
|
|
| Address:
SATHARA TA TALAJA DIST BVN
Gender:
F
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1300.00
|
|
|
| Rs. In Words: ONE THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 695
--------------------------------------------------------------------------------------------------------------------------| Patient:
KAJALBEN SAVJIBHAI CHAUHAN
Date:
02-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
29
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|

|
.00 |
|
|
|
Total:

|
1000.00

|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 696
--------------------------------------------------------------------------------------------------------------------------| Patient:
VINODBHAI S SHARMA
Date:
03-Oct-10
|
|
|
| Address:
PINGORA DIST BHARATPUR RAJASTHAN
Gender:
M
Age:
58
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
2000
| 3
|
6000.00 |
|
|
|
|
|
| MEDICAL OFFICER CHARGES
|
300
| 3
|
900.00 |
|
|
|
|
|
| NURSING CHARGES
|
250
| 3
|
750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 5
|
750.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 9
|
450.00 |
|
|
|
|
|
| VISITING CONSULTANT CHARGES
|
6750
| 1
|
6750.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:

Deposit(-):
|

|
10000.00 |

|
|
|
Total:

|
5700.00

|
|
| Rs. In Words: FIVE THOUSAND SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 697
--------------------------------------------------------------------------------------------------------------------------| Patient:
VAISHALIBEN S UDAVIYA

Date:

03-Oct-10

|
|
| Address:
Gender:
F
|

BHAVNAGAR
Age:

32

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 7
|
7000.00 |
|
|
|
|
|
| MEDICAL OFFICER CHARGES
|
300
| 7
|
2100.00 |
|
|
|
|
|
| NURSING CHARGES
|
250
| 7
|
1750.00 |
|
|
|
|
|
| VISITING DR VISHAKHABEN CHARGES
|
600
| 7
|
4200.00 |
|
|
|
|
|
| DR SACHAPARA VISITING CHARGES
|
500
| 1
|
500.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
10000.00 |
|
|
|
Total:
|
|
5650.00
|
|
|
| Rs. In Words: FIVE THOUSAND SIX HUNDRED AND FIFTY ONLY/|
------------------------------------------------------------------

---------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 698
--------------------------------------------------------------------------------------------------------------------------| Patient:
BIPINBHAI JINABHAI VAGHELA
Date:
03-Oct-10
|
|
|
| Address:
UMRALA TA DIST BVN
Gender:
M
Age:
50
|
|
|
|
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------Services Rendered
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 6
|
10500.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 9
|
1350.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| NEBULISER
|
50
| 36
|
1800.00 |
|
|
|
|
|
| O2 CHARGE/1 HOUR
|
20
| 50
|
1000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
16150.00
|
|
|
| Rs. In Words: SIXTEEN THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 699
--------------------------------------------------------------------------------------------------------------------------| Patient:
ASHWINBHAI ARJANBHAI JAMBUCHA
Date:
03-Oct-10
|
|
|
| Address:
KANTALA TA GHOGHA DIST BVN
Gender:
M
Age:
22
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|

|
1750

I. C. U.
| 2

E. C. G.
| 2

|
|
3500.00

|
|
150

|
|
300.00

|
|
|
| VISITING CONSULTANT CHARGES
|
2050
| 1
|
2050.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5950.00
|
|
|
| Rs. In Words: FIVE THOUSAND NINE HUNDRED AND FIFTY ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 700
--------------------------------------------------------------------------------------------------------------------------| Patient:
VIJAYBHAI MAGANBHAI DABHI
Date:
03-Oct-10
|
|
|
| Address:
GHOGHA DIST BVN
Gender:
M
Age:
18
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|

|
1000.00

|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 701

--------------------------------------------------------------------------------------------------------------------------| Patient:
MANJULABEN P GABANI
Date:
03-Oct-10
|
|
|
| Address:
KHOPALA TA GADHADA DIST BVN
Gender:
F
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
| NEBULISER
|
50
| 4
|
200.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1425.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 702
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAJENDRABHAI NARSANGBHAI BHANDARI
Date:
03-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
18
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------

Fees

Services Rendered
Days
|

|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3100.00
|
|
|
| Rs. In Words: THREE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 703
--------------------------------------------------------------------------------------------------------------------------| Patient:
MANISHABEN NARSANGBHAI BHANDARI
Date:
03-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
20
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|

.00 |
|
|
|
Total:

|
1350.00

|
|
| Rs. In Words: ONE THOUSAND THREE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 704
--------------------------------------------------------------------------------------------------------------------------| Patient:
SANDIPBHAI MANHARBHAI VAGHELA
Date:
03-Oct-10
|
|
|
| Address:
KATHWA TA TALAJA DIST BVN
Gender:
M
Age:
13
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 705
--------------------------------------------------------------------------------------------------------------------------| Patient:
HARIOMBHAI MANEKLAL SHUKLA
Date:
04-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
67
|
|
|
|
|
|

|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
925.00
|
|
|
| Rs. In Words: NINE HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 706
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHAVIKABEN B DESAI
Date:
04-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
19
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1.5
|
1500.00 |
|
|
|
|
|

|
50
|

NEBULISER
| 4

|
|

200.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1800.00
|
|
|
| Rs. In Words: ONE THOUSAND EIGHT HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 707
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAJUBHAI RUPABHAI SAROLA
Date:
04-Oct-10
|
|
|
| Address:
ADHEWADA TA DIST BVN
Gender:
M
Age:
27
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
------------------------------------------------------------------

---------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 708
--------------------------------------------------------------------------------------------------------------------------| Patient:
GIRIRAJSINH P GOHIL
Date:
04-Oct-10
|
|
|

| Address:
Gender:
M
|

BHAVNAGAR
Age:

52

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
2000
| 0.5
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 709
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAJESHREEBEN NARENDRASINH GOHILO
Date:
04-Oct-10
|
|
|
| Address:
ALAMPAR TA UMRALA DIST BVN
Gender:
M
Age:
15
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 710
--------------------------------------------------------------------------------------------------------------------------| Patient:
ANKITABEN RAJPUT
Date:
05-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
18
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| DR P.L SACHAPARA CONCTING
|
2450
| 1
|
2450.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------

|
Notes:
Deposit(-):
|

|
.00 |

|
|
|
Total:

|
4000.00

|
|
| Rs. In Words: FOUR THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 711
--------------------------------------------------------------------------------------------------------------------------| Patient:
PADYUMANSINH BHAGVANSINH GOHIL
Date:
05-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
23
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
500
| 1
|
500.00 |
|
|
|
|
|
| PULSE OXYMETER
|
300
| 2
|
600.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| NURSING CHARGES
|
250
| 7.5
|
1875.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3225.00
|
|

|
| Rs. In Words: THREE THOUSAND TWO HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 712
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAVJIBHAI VASHRAMBHAI GABANI
Date:
05-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
50
|
|

|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 6
|
900.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
7300.00
|
|
|
| Rs. In Words: SEVEN THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 713
--------------------------------------------------------------------------------------------------------------------------| Patient:
VASHRAMBHAI VIRABHAI RATHOD
Date:
05-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|

100

| 1

100.00

|
|
450

|
GENERAL ROOM
| 3
|

|
|
1350.00

|
|
50
|

|
|

NEBULISER
| 16

|
|
800.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2250.00
|
|
|
| Rs. In Words: TWO THOUSAND TWO HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 714
--------------------------------------------------------------------------------------------------------------------------| Patient:
VIRABHAI MANGABHAI DABHI
Date:
05-Oct-10
|
|
|
| Address:
SARTANPAR TA TALASJA DIST BVN
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3.5
|
1575.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 10
|
500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------

|
Notes:
Deposit(-):
|

|
.00 |

|
|
|
Total:

|
2325.00

|
|
| Rs. In Words: TWO THOUSAND THREE HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 715
---------------------------------------------------------------------------------------------------------------------------| Patient:
NAYNABEN G THAKKAR
Date:
05-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
50
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
| 1000
| 1
|
1000.00 |
|
|
|
|
|
| VISITING DR CHARGES
| 1100
| 1
|
1100.00 |
|
|
|
|
|
| ECG
| 150
| 1
|
150.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------|
Notes: 715
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2350.00
|
|
|
| Rs. In Words: TWO THOUSAND THREE HUNDRED AND FIFTY ONLY/|
------------------------------------------------------------------

----------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 716
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAYVIRSINH M GOHIL
Date:
05-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
20
|
|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 717
--------------------------------------------------------------------------------------------------------------------------| Patient:
HARSHADBHAI KANTILAL MEHTA
Date:
05-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
49
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|

|
150

E. C. G.
| 1

|
|
150.00

|
|
|
| VISITING DR CHARGES
|
700
| 1
|
700.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1950.00
|
|
|
| Rs. In Words: ONE THOUSAND NINE HUNDRED AND FIFTY ONLY/|
-------------------------------------------------------------------------------------------------------------------------|

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 718
--------------------------------------------------------------------------------------------------------------------------| Patient:
SHAKTISINH NIKUBHA RATHOD
Date:
06-Oct-10
|
|
|
| Address:
MADHOVAN TA TALAJA DIST BVN
Gender:
M
Age:
26
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| VISITING DR CHARGEG
|
1100
| 1
|
1100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|

|
1650.00

|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 719
-------------------------------------------------------------------

--------------------------------------------------------| Patient:
PRATHAVIRAJSINH C RANA
Date:
06-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
15
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1100.00
|
|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 720
--------------------------------------------------------------------------------------------------------------------------| Patient:
PRAVINBHAI V ZIZALA
Date:
06-Oct-10
|
|
|
| Address:
DIVALI
Gender:
M
Age:
28
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|

---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 721
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHETANABEN M PATEL
Date:
06-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
23
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|

Total:

|
1100.00

|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665

Bill No.: 722


--------------------------------------------------------------------------------------------------------------------------| Patient:
VANABHAI GOVINDBHAI VAGHELA
Date:
06-Oct-10
|
|
|
| Address:
MANAR TA TALAJA DIST BHAVNAGAR
Gender:
M
Age:
62
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 4
|
7000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 7
|
1050.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
8650.00
|
|
|
| Rs. In Words: EIGHT THOUSAND SIX HUNDRED AND FIFTY ONLY/|

--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 723
--------------------------------------------------------------------------------------------------------------------------| Patient:
MADHABHAI TOGABHAI KUCHA
Date:
06-Oct-10
|
|
|
| Address:
TRAPAJ TA BHAVNAGAR DIS BHAVNAGAR
Gender:
M
Age:
60
|
|
|
|
|

|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3
|
5250.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| E. C. G.
|
150
| 6
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
7300.00
|
|
|
| Rs. In Words: SEVEN THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 724
--------------------------------------------------------------------------------------------------------------------------| Patient:
LAXMIBEN MANJIBHAI SUTARIYA
Date:
06-Oct-10
|
|
|
| Address:
BHANDARIYA
Gender:
F
Age:
44
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|

|
450
|

GENERAL ROOM
| 1
|

|
450.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 725
--------------------------------------------------------------------------------------------------------------------------| Patient:
NARENDRASINH PRAVINSINH VAGHELA
Date:
07-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
47
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|

700.00

|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 726
---------------------------------------------------------------------------------------------------------------------------

|
Date:

Patient:
DHAKUBEN B MAKAWANA
07-Oct-10

|
|
| Address:
Gender:
F
|

PITHALAPUR
Age:

45

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 727
--------------------------------------------------------------------------------------------------------------------------| Patient:
MOTIRAMBHAI GOVINDBHAI PANOT
Date:
07-Oct-10
|
|
|
| Address:
DIHOR TA TALAJA DIS BHAVNAGAR
Gender:
M
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 7
|
350.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| PLEURAL EFFUSION TAPPING
|
500
| 2
|
1000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 4
|
200.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4000.00
|
|
|
| Rs. In Words: FOUR THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 728
--------------------------------------------------------------------------------------------------------------------------| Patient:
DONALIBEN R MAKAWANA
Date:
07-Oct-10
|
|
|
| Address:
LAKHATR
Gender:
F
Age:
17
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|

|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
775.00
|
|
|
| Rs. In Words: SEVEN HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 729
--------------------------------------------------------------------------------------------------------------------------| Patient:
ABHISHEKBHAI P BHATT
Date:
07-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
14
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1100.00
|
|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 730
--------------------------------------------------------------------------------------------------------------------------| Patient:
ARVIDBHAI L YADAV
Date:
07-Oct-10
|
|
|
| Address:
BHADIYAD

Gender:
|

Age:

22

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 731
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHETANABEN M PATEL
Date:
07-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
23
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |

|
|
1000
|

|
|

DELUXE ROOM
| 1

|
|
1000.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1100.00
|
|
|
| Rs. In Words: ONE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 732
--------------------------------------------------------------------------------------------------------------------------| Patient:
KAMALABEN G THAKKAR
Date:
07-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|

Total:

|
2150.00

|
|
| Rs. In Words: TWO THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 733

--------------------------------------------------------------------------------------------------------------------------| Patient:
BHANUBEN L DHABHAI
Date:
08-Oct-10
|
|
|
| Address:
MANAR
Gender:
F
Age:
23
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
775.00
|
|
|
| Rs. In Words: SEVEN HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 734
--------------------------------------------------------------------------------------------------------------------------| Patient:
INDUBEN A GOHIL
Date:
08-Oct-10
|
|
|
| Address:
PARVALA TA UAMARALA DIS BHAVNAGAR
Gender:
F
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| D. C. SHOCK
|
1000
| 2
|
2000.00 |
|
|
|
|
|
| ENDOTRACHEAL TUBE
|
300
| 1
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3000.00
|
|
|
| Rs. In Words: THREE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 735
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAJKUMARIBEN ASHOKBHAI SHARMA
Date:
08-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
45
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|

|
|
1100
|

|
VISITING DR CHARGES
| 1
|

|
|
1100.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3100.00
|
|
|
| Rs. In Words: THREE THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 736
--------------------------------------------------------------------------------------------------------------------------| Patient:
VALAJIBHAI D VASHANI
Date:
08-Oct-10
|
|
|
| Address:
DHARAVALA
Gender:
M
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 737
--------------------------------------------------------------------------------------------------------------------------| Patient:
ROOPABA S JADEJA
Date:
08-Oct-10
|
|
|
| Address:
BHAVNAGAR

Gender:
|

Age:

39

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
750.00
|
|
|
| Rs. In Words: SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 738
--------------------------------------------------------------------------------------------------------------------------| Patient:
VALAJIBHAI D VASHANI
Date:
08-Oct-10
|
|
|
| Address:
DHARAVALA
Gender:
M
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |

|
|

|
450
|

GENERAL ROOM
| 2
|

|
|
900.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 739
--------------------------------------------------------------------------------------------------------------------------| Patient:
USHABEN HARSHADBHAI MEHTA
Date:
08-Oct-10
|
|
|
| Address:
KHADARPAR TA TALAJA DIST BVN
Gender:
F
Age:
35
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| DR CHARGES
|
2200
| 1
|
2200.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|

Total:

|
3200.00

|
|
| Rs. In Words: THREE THOUSAND TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 740

--------------------------------------------------------------------------------------------------------------------------| Patient:
KISHORBHAI
J RATHOD
Date:
08-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
| DR CHARGES
|
3300
| 1
|
3300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6000.00
|
|
|
| Rs. In Words: SIX THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 741
--------------------------------------------------------------------------------------------------------------------------| Patient:
ARAVIDBHAI D GOHIL
Date:
08-Oct-10
|
|
|
| Address:
KHADALAPAR
Gender:
M
Age:
16
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|

Fees

Days

Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 742
--------------------------------------------------------------------------------------------------------------------------| Patient:
VANMALIBHAI L PANDAYA
Date:
08-Oct-10
|
|
|
| Address:
PIPALA
Gender:
M
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 6
|
300.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------

|
Notes:
Deposit(-):
|

|
.00 |

|
|
|
Total:

|
1300.00

|
|
| Rs. In Words: ONE THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 743
---------------------------------------------------------------------------------------------------------------------------| Patient:
VIMLADEVI S BHARDWAJ
Date:
08-Oct-10
|
|
|
| Address:
PIPAVAV TA RAJULA DIST BVN
Gender:
F
Age:
30
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
| 450
| 6.5
|
2925.00 |
|
|
|
|
|
| PLEURAL EFFUSION TAPPING
| 1000
| 1
|
1000.00 |
|
|
|
|
|
| MONITOR CHARGES(NON I. C. U. PATIENT)
| 350
| 1
|
350.00 |
|
|
|
|
|
| O2 CHARGE/1 HOUR
| 20
| 10
|
200.00 |
|
|
|
|
|
| DR CHARGES
| 1100
| 6
|
6600.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------|
Notes: BILL N :743
Deposit(-):
|
|
.00 |
|

|
|
Total:

|
11175.00

|
|
| Rs. In Words: ELEVEN THOUSAND ONE HUNDRED AND SEVENTY FIVE ONLY
/|
---------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 744
--------------------------------------------------------------------------------------------------------------------------| Patient:
MAHEDRSINH MORI
Date:
10-Oct-10
|
|

|
| Address:
Gender:
M
|

BHAVNAGAR
Age:

23

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 2
|
2000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2100.00
|
|
|
| Rs. In Words: TWO THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 745
--------------------------------------------------------------------------------------------------------------------------| Patient:
SONALBEN RAMESHBHAI DAVE
Date:
10-Oct-10
|
|
|
| Address:
SATHRA TA TALAJA DIST BHAVNAGAR
Gender:
F
Age:
14
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |

|
|

|
450
|

GENERAL ROOM
| 2
|

|
|
900.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 746
--------------------------------------------------------------------------------------------------------------------------| Patient:
BABUBHAI DEVJIBHAI THANTH
Date:
10-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| DR CHRAGES
|
3300
| 1
|
3300.00 |
|
|
|
|
|
| DR NITABEN CHRAGES
|
300
| 1
|
300.00 |
|
|
|
|
|
-------------------------------------------------------------------

--------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5200.00
|
|
|
| Rs. In Words: FIVE THOUSAND TWO HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU

0278-2429665
Bill No.: 747
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHAMPAKBHAI THAKARSHIBHAI BARAD
Date:
10-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
69
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1275.00
|
|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 748
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHETANABA S ZALA
Date:
10-Oct-10
|
|
|
| Address:
VALALBHIPUR
Gender:
F
Age:
30
|
|
|
|
|
|
|

---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
2000
| 1.5
|
3000.00 |
|
|
|
|
|
| CATHETOR
|
100
| 1
|
100.00 |
|
|
|
|
|
| RYLES TUBE
|
100
| 1
|
100.00 |
|
|
|
|
|
| MEDICAL OFFICER CHARGES
|
300
| 1.5
|
450.00 |
|
|
|
|
|
| NURSING CHARGES
|
250
| 1.5
|
375.00 |
|
|
|
|
|
| OTHERS
|
875
| 1
|
875.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
.00
|
|
|
| Rs. In Words: ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 749
--------------------------------------------------------------------------------------------------------------------------| Patient:
ATULBHAI N SHAH
Date:
10-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
52
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |

|
|
150

|
|

E. C. G.
| 1

I. V. DRIP
| 1

|
|
150.00

|
|
150
|

|
|
|
150.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
400.00
|
|
|
| Rs. In Words: FOUR HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 750
--------------------------------------------------------------------------------------------------------------------------| Patient:
MADHABHAI KESHAVBHAI CHUDASAMA
Date:
11-Oct-10
|
|
|
| Address:
SONPARI TA PALITANA DIST BVN
Gender:
M
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|

|
|
Total:

|
1050.00

|
|
| Rs. In Words: ONE THOUSAND AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665

Bill No.: 751


--------------------------------------------------------------------------------------------------------------------------| Patient:
GOBARBHAI R SOLANKI
Date:
11-Oct-10
|
|
|
| Address:
PADAVA TA GHOGHA DIS BHAVNAGAR
Gender:
M
Age:
27
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1900.00
|
|
|
| Rs. In Words: ONE THOUSAND NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 752
--------------------------------------------------------------------------------------------------------------------------| Patient:
MAYABEN G DHNDHLIYA
Date:
11-Oct-10
|
|
|
| Address:
DEVALI
Gender:
F
Age:
18
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|

Fees

Days

Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 753
--------------------------------------------------------------------------------------------------------------------------| Patient:
GHANSHYAMBHAI KUVARBHAI DHANDHALYA
Date:
11-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
32
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |

|
|
|
Total:

|
1900.00

|
|
| Rs. In Words: ONE THOUSAND NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 754
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHANABHAI S MODH
Date:
11-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
68
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| DR CHARAGES
|
1100
| 1
|
1100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2100.00
|
|
|
| Rs. In Words: TWO THOUSAND ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 755
--------------------------------------------------------------------------------------------------------------------------| Patient:
RATANBEN DAYABHAI BAMBHANIYA
Date:
11-Oct-10
|
|
|
| Address:
SHIYALBET TA JAFRABAD DIST AMRELI
Gender:
F
Age:
45
|
|
|
|
|

|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 3.5
|
6125.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
| DR P .L SACHAPARA CHRAGES
|
7200
| 1
|
7200.00 |
|
|
|
|
|
| DR NITABEN
|
300
| 1
|
300.00 |
|
|
|
|
|
| DR KIPANISIR
|
600
| 1
|
600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
15675.00
|
|
|
| Rs. In Words: FIFTEEN THOUSAND SIX HUNDRED AND SEVENTY FIVE ONL
Y/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 756
--------------------------------------------------------------------------------------------------------------------------| Patient:
SALIMBHAI A LAXMIDHAR
Date:
12-Oct-10
|
|
|
| Address:
GARIYADHAR
Gender:
M
Age:
50
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |

|
|
150

|
|

E. C. G.
| 3

|
|
450.00

|
|
450

|
GENERAL ROOM
| 1
|

|
|
450.00

|
|
1750

|
|

I. C. U.
| 0.5

|
|
875.00

|
|
1850
|

|
DR CHARAGES
| 1
|

|
|
1850.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3725.00
|
|
|
| Rs. In Words: THREE THOUSAND SEVEN HUNDRED AND TWENTY FIVE ONLY
/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 757
--------------------------------------------------------------------------------------------------------------------------| Patient:
KANTIBHAI D KAVA
Date:
12-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
72
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|

|
Total:

|
1450.00

|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU

0278-2429665
Bill No.: 758
--------------------------------------------------------------------------------------------------------------------------| Patient:
RAMAJIBHAI M GOTI
Date:
12-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 2
|
3500.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
-800.00
|
|
|
| Rs. In Words: -HUNDRED BILLION AND EIGHTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 759
---------------------------------------------------------------------------------------------------------------------------| Patient:
RAMESHCHDR A SHAH
Date:
12-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
58
|
|
|
|
|

|
|
----------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
| 1750
| 1
|
1750.00 |
|
|
|
|
|
| E. C. G.
| 150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
| 50
| 2
|
100.00 |
|
|
|
|
|
| CATHETOR
| 100
| 1
|
100.00 |
|
|
|
|
|
| MEDICAL OFFICER CHARGES
| 300
| 1
|
300.00 |
|
|
|
|
|
| NURSING CHARGES
| 250
| 1
|
250.00 |
|
|
|
|
|
| VISITING DR CHARGES
| 1750
| 1
|
1750.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------|
Notes: BILL NO 759
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
4500.00
|
|
|
| Rs. In Words: FOUR THOUSAND FIVE HUNDRED ONLY/|
---------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 760
--------------------------------------------------------------------------------------------------------------------------| Patient:
ROSHANIBEN G RATAYA
Date:
12-Oct-10
|
|
|
| Address:
SHIHOR
Gender:
F
Age:
20
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|

---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 761
--------------------------------------------------------------------------------------------------------------------------| Patient:
BHUTHABHAI O CHAUHANA
Date:
13-Oct-10
|
|
|
| Address:
SARATANPAR
Gender:
M
Age:
70
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 6
|
300.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
-------------------------------------------------------------------

--------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 762
--------------------------------------------------------------------------------------------------------------------------| Patient:
MAJULABEN V SHIYAL
Date:
13-Oct-10
|
|
|
| Address:
MATHAVADA
Gender:
F
Age:
32
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2
|
900.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1000.00
|
|
|
| Rs. In Words: ONE THOUSAND ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 763
--------------------------------------------------------------------------------------------------------------------------| Patient:
ZAVERBHAI L SABHADAIYA
Date:
13-Oct-10
|
|
|
| Address:
BAGADANA TAMAHUVA DIS BHAVNAGAR
Gender:
M
Age:
50
|
|
|
|
|
|

|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 764
--------------------------------------------------------------------------------------------------------------------------| Patient:
MADHUBEN BABULAL ZALA
Date:
13-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
60
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 1
|
1750.00 |
|
|
|
|
|

|
150

E. C. G.
| 2

BLOOD SUGER
| 3

300.00

|
|
50
|

|
|
|
150.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
2300.00
|
|
|
| Rs. In Words: TWO THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 765
--------------------------------------------------------------------------------------------------------------------------| Patient:
GHANSHAMBHAI V RAMANUJ
Date:
13-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
65
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
0
| 1
|
.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
.00
|
|
|
| Rs. In Words: ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 766
--------------------------------------------------------------------------------------------------------------------------| Patient:
GHANSHYAMBHAI KUVARBHAI DHANDHALYA
Date:
13-Oct-10
|
|
|

| Address:
Gender:
M
|

BHAVNAGAR
Age:

32

|
|

|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 4
|
1800.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1900.00
|
|
|
| Rs. In Words: ONE THOUSAND NINE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 767
--------------------------------------------------------------------------------------------------------------------------| Patient:
KANTIBHAI D KAVA
Date:
13-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
72
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|

|
|
450

|
GENERAL ROOM
| 3
|

|
|
1350.00

|
|
150

|
|

E. C. G.
| 1

BLOOD SUGER
| 1

|
|
150.00

|
|
50
|

|
|
|
50.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1650.00
|
|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 768
--------------------------------------------------------------------------------------------------------------------------| Patient:
PUTHVIRAJSINH C RANA
Date:
13-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
17
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 4
|
4000.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| PRP
|
150
| 4
|
600.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------

|
Notes:
Deposit(-):
|

|
.00 |

|
|
|
Total:

|
4850.00

|
|
| Rs. In Words: FOUR THOUSAND EIGHT HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 769
--------------------------------------------------------------------------------------------------------------------------| Patient:
CHATRAPALSINH J GONIL
Date:
13-Oct-10
|
|
|
| Address:
SHIHOR
Gender:
M
Age:
18
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1.5
|
1500.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1750.00
|
|
|
| Rs. In Words: ONE THOUSAND SEVEN HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 770
--------------------------------------------------------------------------------------------------------------------------| Patient:
SAVITABEN N SHIYAL
Date:
14-Oct-10
|
|
|
| Address:
MATHAVADA
Gender:
F
Age:
40
|
|
|
|
|

|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
975.00
|
|
|
| Rs. In Words: NINE HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 771
--------------------------------------------------------------------------------------------------------------------------| Patient:
DHRMEDRSINH R SARVAIYA
Date:
14-Oct-10
|
|
|
| Address:
CHOK
Gender:
M
Age:
30
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| E. C. G.
|

150

| 1

BLOOD SUGER
| 1

DELUXE ROOM
| 1

150.00

|
|
50

|
|
|
50.00

|
|
1000
|

|
|
|
1000.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1300.00
|
|
|
| Rs. In Words: ONE THOUSAND THREE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 772
--------------------------------------------------------------------------------------------------------------------------| Patient:
KARANSINH A GOHIL
Date:
14-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
58
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| E. C. G.
|
150
| 2
|
300.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 10
|
500.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|

|
.00 |
|
|
|
Total:

|
2025.00

|
|
| Rs. In Words: TWO THOUSAND AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU

0278-2429665
Bill No.: 773
---------------------------------------------------------------------------------------------------------------------------| Patient:
KAMLABEN HARILAL JOSHI
Date:
14-Oct-10
|
|
|
| Address:
DHASA TA DIST BVN
Gender:
F
Age:
78
|
|
|
|
|
|
|
----------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
----------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
| 100
| 1
|
100.00 |
|
|
|
|
|
| E. C. G.
| 150
| 3
|
450.00 |
|
|
|
|
|
| BLOOD SUGER
| 50
| 10
|
500.00 |
|
|
|
|
|
| I. C. U.
| 1750
| 3
|
5250.00 |
|
|
|
|
|
| GENERAL ROOM
| 450
| 2
|
900.00 |
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------|
Notes: BILL NO 773
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
6950.00
|
|
|
| Rs. In Words: SIX THOUSAND NINE HUNDRED AND FIFTY ONLY/-

|
---------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 774
--------------------------------------------------------------------------------------------------------------------------| Patient:
ARAVINDBHAI M BARAIYA
Date:
14-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
40
|
|
|
|

|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1225.00
|
|
|
| Rs. In Words: ONE THOUSAND TWO HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 775
--------------------------------------------------------------------------------------------------------------------------| Patient:
MEHULBHAI M LATHIYA
Date:
14-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
M
Age:
18
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|

|
50

BLOOD SUGER
| 1

50.00

|
|
450
|

|
GENERAL ROOM
| 3
|

|
|
1350.00

|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1650.00
|
|
|
| Rs. In Words: ONE THOUSAND SIX HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 776
--------------------------------------------------------------------------------------------------------------------------| Patient:
MANGLABEN JIVANLAL SHUKLA
Date:
14-Oct-10
|
|
|
| Address:
VALLABHIPUR TA DIST BVN
Gender:
F
Age:
80
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 1
|
1000.00 |
|
|
|
|
|
| PULSE OXYMETER
|
300
| 3
|
900.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|

|
|
Total:

|
2150.00

|
|
| Rs. In Words: TWO THOUSAND ONE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 777

--------------------------------------------------------------------------------------------------------------------------| Patient:
JAYESHBHAI DHAMELIYA
Date:
14-Oct-10
|
|
|
| Address:
ROYAL
Gender:
M
Age:
16
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 3
|
1350.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1450.00
|
|
|
| Rs. In Words: ONE THOUSAND FOUR HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 778
--------------------------------------------------------------------------------------------------------------------------| Patient:
ATULBHAI N PATEL
Date:
14-Oct-10
|
|
|
| Address:
MAHUVA DIS BHAVNAGAR
Gender:
M
Age:
41
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|

|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
5000.00 |
|
|
|
Total:
|
|
-1900.00
|
|
|
| Rs. In Words: -HUNDRED BILLION ONE HUNDRED AND NINETY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 779
--------------------------------------------------------------------------------------------------------------------------| Patient:
ASHUBEN K MER
Date:
14-Oct-10
|
|
|
| Address:
BHAVNAGAR
Gender:
F
Age:
75
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1.5
|
675.00 |
|
|
|
|
|
| NEBULISER
|
50
| 2
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|

|
.00 |
|
|
|
Total:

|
875.00

|
|
| Rs. In Words: EIGHT HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 780
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAYRAJ DOHABHAI MOBH
Date:
14-Oct-10
|
|
|
| Address:
TRAPAJ TA TALAJA DIST BVN
Gender:
M
Age:
14
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 2.5
|
1125.00 |
|
|
|
|
|
| PRP
|
200
| 3
|
600.00 |
|
|
|
|
|
| E. C. G.
|
150
| 3
|
450.00 |
|
|
|
|
|
| DR CHARGES
|
2950
| 1
|
2950.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
5225.00
|
|

|
| Rs. In Words: FIVE THOUSAND TWO HUNDRED AND TWENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 781
--------------------------------------------------------------------------------------------------------------------------| Patient:
MOHANBHAI B RABADIYA
Date:
14-Oct-10
|
|
|
| Address:
HALIYAD TA TA VALABHIPUR DIS BHAVNAGAR
Gender:
M
Age:
65
|
|

|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| I. C. U.
|
1750
| 0.5
|
875.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
| BLOOD SUGER
|
50
| 1
|
50.00 |
|
|
|
|
|
| D. C. SHOCK
|
1000
| 0.5
|
500.00 |
|
|
|
|
|
| ENDOTRACHEAL TUBE
|
300
| 1
|
300.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
1975.00
|
|
|
| Rs. In Words: ONE THOUSAND NINE HUNDRED AND SEVENTY FIVE ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 782
--------------------------------------------------------------------------------------------------------------------------| Patient:
JAYABEN D MER
Date:
14-Oct-10
|
|
|
| Address:
BHAVANAGAR
Gender:
F
Age:
25
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
--------------------------------------------------------------------

--------------------------------------------------------| ADMISSION CHARGE


|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
| E. C. G.
|
150
| 1
|
150.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
700.00
|
|
|
| Rs. In Words: SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 783
--------------------------------------------------------------------------------------------------------------------------| Patient:
MANSUKHBHAI VANMALIBHAI GOLAKIYA
Date:
14-Oct-10
|
|
|
| Address:
KRISHNAPARA TA SIHOR DIST BVN
Gender:
M
Age:
49
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
100.00
|

|
|
| Rs. In Words: ONE HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 784

--------------------------------------------------------------------------------------------------------------------------| Patient:
SAROJBEN INDUBHAI JOSHI
Date:
15-Oct-10
|
|
|
| Address:
TALAJA DIST BVN
Gender:
F
Age:
48
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount
|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| GENERAL ROOM
|
450
| 1
|
450.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
550.00
|
|
|
| Rs. In Words: FIVE HUNDRED AND FIFTY ONLY/|
--------------------------------------------------------------------------------------------------------------------------

SAMARPAN HOSPITAL-ICU
0278-2429665
Bill No.: 785
--------------------------------------------------------------------------------------------------------------------------| Patient:
JIGNESHBHAI DINESHBHAI PARMAR
Date:
15-Oct-10
|
|
|
| Address:
DIHOR TA TALAJA DIST BVN
Gender:
M
Age:
17
|
|
|
|
|
|
|
---------------------------------------------------------------------------------------------------------------------------Services Rendered
|
Fees
|
Days
|
Amount

|
|
|
---------------------------------------------------------------------------------------------------------------------------| ADMISSION CHARGE
|
100
| 1
|
100.00 |
|
|
|
|
|
| DELUXE ROOM
|
1000
| 3
|
3000.00 |
|
|
|
|
|
| PRP
|
600
| 1
|
600.00 |
|
|
|
|
|
--------------------------------------------------------------------------------------------------------------------------|
Notes:
Deposit(-):
|
|
.00 |
|
|
|
Total:
|
|
3700.00
|
|
|
| Rs. In Words: THREE THOUSAND SEVEN HUNDRED ONLY/|
--------------------------------------------------------------------------------------------------------------------------

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