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Patient Bill for Serum Uric Acid Test

The document details a patient bill for M. Umair, who underwent a Serum Uric Acid test on March 17, 2025, with a total cost of Rs. 800.00, after a discount of Rs. 80.00, resulting in a payable amount of Rs. 720.00, which has been paid via credit card. It includes patient registration details, collection center information, and a liability waiver regarding the testing. The collection center is located in Lahore, and contact details are provided for further inquiries.

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Umair Gill
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12 views1 page

Patient Bill for Serum Uric Acid Test

The document details a patient bill for M. Umair, who underwent a Serum Uric Acid test on March 17, 2025, with a total cost of Rs. 800.00, after a discount of Rs. 80.00, resulting in a payable amount of Rs. 720.00, which has been paid via credit card. It includes patient registration details, collection center information, and a liability waiver regarding the testing. The collection center is located in Lahore, and contact details are provided for further inquiries.

Uploaded by

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

Patient Detail: Registration Location: Reference: Patient Number:

M. Umair Township, Lahore HABIB BANK LIMITED 46301-21-8883302


Age/Sex : Registration Date: Consultant: Case Number:
35 Y(s) / M 17-Mar-2025 08:49 .SELF 903601-17-03
Note : ,,,

Patient Bill Collection Date & Time: 17-Mar-2025 08:49

Sr. Test Name Reporting Date & Time Rate


1 Serum Uric Acid Mar 18, 2025 - 00:50 800.00

Total : 800.00
Redeem Points :
Discount : 80.00
To Be Paid : 720.00

Paid : Rs: 720.00


Payment Received By Credit Card: Credit Card#5579****5490

Registered By : Kamran5877

Collection Center Scan for Whatsapp


Invoice/Reports
Center Name : Lahore: College Road Township
Phone Number : 03453437075:0345-3437075
Contact Person : Miss Faiqa
Email : collegeroad.903601@[Link]
Address : COLLEGE RD KHOKHAR CHOWK NEAR AL JANNAT SHADI
HALL
I HAVE READ AND UNDERSTAND THIS CORRESPONDING TEXT AND HAVE ASSUMED ALL RISK(S) INVOLVED IN PARTICIPATING IN THIS TESTING. I RELEASE AND HOLD HARMLESS
CHUGHTAI LAB AND ANY AUTHORIZING PHYSICIAN, INCLUDING THEIR EMPLOYEES, AGENTS AND CONTRACTORS, FROM ANY LIABILITY, CLAIM, INJURY, DAMAGES, ATTORNEYS’
FEES OR HARM OF ANY NATURE THAT MIGHT RESULT FROM THE TESTING, MONETARY OR OTHERWISE, INCLUDING THOSE INVOLVING MY PHYSICAL OR MENTAL HEALTH,
MEDICAL TESTING PROCEDURES, ERRORS IN TEST RESULTS. IN ADDITION, I HEREBY CERTIFY THAT ALL INFORMATION LISTED ON THIS FORM IS TRUE. I UNDERSTAND THAT ANY
OBJECTIONS/EXPLANATIONS IN THIS REGARD CAN ONLY BE MADE/ASSERTED THROUGH ELECTRONIC MAIL ADDRESSED TO CHUGHTAI LAB AT “info@[Link]” WITH
SUBJECT LINE TITLED AS “OBJECTION TO WAIVER OF TEST”, AND THAT ABSENT SUCH AUTHORED DIGITAL MAIL WITHIN THREE DAYS OF RECEIPT OF SAME, ALL OBJECTIONS
ARE/SHALL FOREVER WAIVED.
03111456789 info@[Link] 07 - Jail Road Main Gulberg-III, Lahore [Link]

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