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Inpatient Final Bill Summary

This document is a patient's final bill from a hospital stay which includes the patient's details, dates of admission and discharge, a breakdown of costs for accommodation, consultations, procedures, pharmacy, and lab services, and the total amount owed. It also includes procedure details and an itemized total billed amount with approvals and amount due in words.

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santhureddy
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92 views3 pages

Inpatient Final Bill Summary

This document is a patient's final bill from a hospital stay which includes the patient's details, dates of admission and discharge, a breakdown of costs for accommodation, consultations, procedures, pharmacy, and lab services, and the total amount owed. It also includes procedure details and an itemized total billed amount with approvals and amount due in words.

Uploaded by

santhureddy
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd

IN PATIENT FINAL BILL

MR NO IP NO
PT NAME PHONE NO
GENDER ROOM
DOA DOD

FROM TO NO PER
SNO SERVICE DATE DATE UNITS UNIT TOTAL AMOUNT

1 ACCOMMODATION
ICU ₹ 0.00
DELUXE ROOM ₹ 0.00
ACCOMMODATION AMOUNT ₹ 0.00
2 CONSULTATIONS
DR. CHANDRA SHEKAR REDDY
(GENERAL PHYSICIAN) ₹ 0.00
CONSULTATIONS AMOUNT ₹ 0.00
3 SUPPORTIVES
NEBULIZATION

GRBS

SUPPORTIVES ₹ 0.00
4 PHARMACY (Details enclosed) ₹ 0.00

5 LABORATORY(Details enclosed) ₹ 0.00


TOTAL AMOUNT ₹ 0.00
INTIAL APPROVAL ₹ 0.00
BALANCE TO BE APPROVAL ₹ 0.00

in words:
FINAL BILL DETAILS

PATIENT NAME AGE/SEX IP NO

DOA DOS DOD

PROCEDURE AGREED DELUXE ROOM PACKEGE FOR LAP


SL NO: 24 APPENDECTOMY

AGREED DELUXE ROOM PACKEGE FOR OVARIAN


PROCEDURE CYSTECTOMY FOR 50% OF PACKEGE AMOUNT
SL NO: 56

TOTAL BILLED AMOUNT


INTIAL APPROVED
DUE AMOUNT

IN WORDS:

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