Scribd Logo
Upload

Welcome to Scribd!

  • Nitin Pawar

    Uploaded by

    BOHEMIAN GAMING
    11 views1 page
    This document is a bill from The Sight Avenue for eye surgery performed on Mr. Nitin Pawar. It provides details of the patient such as name, age, gender, address, admission and discharge dates. It lists the surgery performed as custom LASIK on both eyes and the surgeon as Dr. Suwarn Chetan. The total bill amount is Rs. 103,700 which has been credited to Fortis Escort, the patient's insurance provider. The bill is signed by the authorized signatory of The Sight Avenue and the patient.

    Original Description:

    Original Title

    15285 Nitin Pawar

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is a bill from The Sight Avenue for eye surgery performed on Mr. Nitin Pawar. It provides details of the patient such as name, age, gender, address, admission and discharge dates. It lists the surgery performed as custom LASIK on both eyes and the surgeon as Dr. Suwarn Chetan. The total bill amount is Rs. 103,700 which has been credited to Fortis Escort, the patient's insurance provider. The bill is signed by the authorized signatory of The Sight Avenue and the patient.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    11 views1 page

    Nitin Pawar

    Uploaded by

    BOHEMIAN GAMING
    This document is a bill from The Sight Avenue for eye surgery performed on Mr. Nitin Pawar. It provides details of the patient such as name, age, gender, address, admission and discharge dates. It lists the surgery performed as custom LASIK on both eyes and the surgeon as Dr. Suwarn Chetan. The total bill amount is Rs. 103,700 which has been credited to Fortis Escort, the patient's insurance provider. The bill is signed by the authorized signatory of The Sight Avenue and the patient.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    THE SIGHT AVENUE

    243 P, Sector 38 Near Bakhtawar Chowk Haryana- 122001


    Mobile: +91 7900070040 / 9560545511 Phone: 011-4666 0666
    Web :-www.thesightavenue.com E-mail [email protected]

    SURGERY BILL

    BILL NO. : SAG/23-24/IPD-01134 BILL DATE : 21-Feb-2024


    IPD NO. : SAG/23-24/IPDR-01210 MRD NO. : SAG-007281
    PATIENT NAME : Mr NITIN PAWAR ADMISSION DATE : 21-Feb-2024
    22 Yrs / Male DISCHARGE DATE : 21-Feb-2024
    AGE/ GENDER :
    ROOM TYPE. : GENERAL
    VILL- LUKSAR
    ADDRESS : WARD NO. : 201
    SURGEON NAME : Dr. Suwarn Chetan BED NO. : 201
    PROCEDURE NAME : BOTH EYE : BE C-LASIK DONE UNDER TA

    PANEL / TPA NAME : FORTIS ESCORT


    EMPLOYEE NAME :
    EMPLOYEE NO. :
    POLICY NO. :
    CARD NO. :
    CLAIM_ID :

    S.NO. PARTICULARS RATE AMOUNT


    CUSTOMISED LASIK 103,700.00 103,700.00

    GROSS AMOUNT 103,700.00


    DISCOUNT 0.00
    BILL AMOUNT 103,700.00

    CREDIT AMOUNT 103,700.00

    CREDIT BILL TOWARDS FORTIS ESCORT : RS ONE LAKHS THREE THOUSAND SEVEN HUNDRED ONLY

    The Sight Avenue Gurugram NAVEEN

    AUTHORISED SIGNATORY WITH STAMP Created By SIGNATURE OF CARD HOLDER / ATTENDENT/PATIENT

    You might also like