450.

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420.00
200.00

GLUCOSE FASTING
HAEMOGLOBIN
HIV ELISA

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By Credit Card : Rs. 1605.00

Total : Rs. 1605.00

Concession given : Rs. 0.00
By Credit Card : Rs.One Thousand Six Hundreds and Five Only

CREDIT/DEBIT CARD RECEIPT

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PLEASE KEEP THIS SAFE

Printed On : 28/06/2016 06:31 AM

90.00
55.00
390.00

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HBSAG
BLOOD GROUPING & RH TYPING
VDRL

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Unit : OG5

Bill No : A000631351
Receipt No : WEBAPR624089
Bill Dated : 28/06/2016 06:29 AM

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Name : G P RAJESWARI
Hosp No : 615539G

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VELLORE - 632 004,TAMIL NADU,INDIA.

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CHRISTIAN MEDICAL COLLEGE

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VELLORE - 632 004,TAMIL NADU,INDIA.

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CHRISTIAN MEDICAL COLLEGE

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LABORATORY SAMPLE COLLECTION : INSTRUCTION FOR PATIENTS

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1. All routine samples(blood and urine) for women and children patients will be collected in room 460
in the ground floor of the ISSCC Building
2. ISSCC COUNTER TIME: 7AM - 4PM (AFTER 4PM GOTO G-20(OPD) MON-FRI:4PM - 8PM,SAT: 4PM - 6PM),SUNDAY
CLOSED

TRANSID
160628003142

BLOOD GROUPING & RH TYPING

160628003141

GLUCOSE FASTING - Overnight Fasting

160628003140

VDRL

160628003143

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HAEMOGLOBIN

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COMMENTS

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NAME OF TEST

HOSP NO : 615539G
Rate : C

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Printed On : 28/06/2016 06:31 AM

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VELLORE - 632 004,TAMIL NADU,INDIA.

NAME : G P RAJESWARI
AGE : 33
SEX : F
Unit : OG5
Receipt No : WEBAPR624089
Date : 28/06/2016 06:29 AM

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CHRISTIAN MEDICAL COLLEGE

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HOSP NO : 615539G
Rate : C

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Requested by : BHAVANA K.

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Printed On : 28/06/2016 06:31 AM

Entry-gate No.3

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BLOOD GROUPING & RH TYPING

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160628003141

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VELLORE - 632 004,TAMIL NADU,INDIA.

NAME : G P RAJESWARI
AGE : 33
SEX : F
Unit : OG5
Receipt No : WEBAPR624089
Date : 28/06/2016 06:29 AM

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CHRISTIAN MEDICAL COLLEGE

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HOSP NO : 615539G
Rate : C

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Requested by : BHAVANA K.

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Printed On : 28/06/2016 06:31 AM

Entry-gate No.3

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VDRL

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160628003143

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VELLORE - 632 004,TAMIL NADU,INDIA.

NAME : G P RAJESWARI
AGE : 33
SEX : F
Unit : OG5
Receipt No : WEBAPR624089
Date : 28/06/2016 06:29 AM

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CHRISTIAN MEDICAL COLLEGE

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HOSP NO : 615539G
Rate : C

HBSAG

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Requested by : BHAVANA K.

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Printed On : 28/06/2016 06:31 AM

Entry-gate No.3

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REASON FOR REQUEST: OTHERS

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160628003139

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VELLORE - 632 004,TAMIL NADU,INDIA.

NAME : G P RAJESWARI
AGE : 33
SEX : F
Unit : OG5
Receipt No : WEBAPR624089
Date : 28/06/2016 06:29 AM

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CHRISTIAN MEDICAL COLLEGE

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VELLORE - 632 004,TAMIL NADU,INDIA.

I have counseled the patient and obtained informed consent.: Patient Consent
obtained

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HIV ELISA

CLINCAL DETAILS: OTHERS

HOSP NO : 615539G
Rate : C

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160628003144

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NAME : G P RAJESWARI
AGE : 33
SEX : F
Unit : OG5
Receipt No : WEBAPR624089
Date : 28/06/2016 06:29 AM

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CHRISTIAN MEDICAL COLLEGE

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Requested by : BHAVANA K.

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Printed On : 28/06/2016 06:31 AM

Entry-gate No.3

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I have counseled the patient and obtained informed consent.: Patient Consent
obtained