Patient Name: Priyanka Code: 202510-0007
Age/Gender: 40/Female Referred by:
Mobile No: 8400379017 Email No:

Invoice copy
(Original for Recipient)

   
Test Description Amount(Rs)
TYPHI-O, TYPHI-H, TYPHI-AH, TYPHI-BH, Malaria Card (m.p. card ), Rs 0/-
AMOUNT IN WORDS(Rs):Only

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