Women & Fertility Care
Station Road, Shanwara, BURHANPUR 450331 (M.P.)
Tel: 09479749999 | Web: www.hospital.com
| Sr. | Particulars / Service Description | Qty | Rate (₹) | Amount (₹) |
|---|---|---|---|---|
| 1 | Complete Blood Count (CBC) | 1 | 450.00 | 450.00 |
| 2 | CRP | 1 | 0.00 | 0.00 |
| 3 | Blood Group & Rh Type | 1 | 200.00 | 200.00 |
| 4 | VDRL | 1 | 0.00 | 0.00 |
| 5 | HBsAg | 1 | 0.00 | 0.00 |
| 6 | Urine Routine & Micro | 1 | 200.00 | 200.00 |
| 7 | BSR | 1 | 100.00 | 100.00 |
| 8 | USG Obstetric (Routine) | 1 | 1,200.00 | 1,200.00 |
* Hospital once visited/charged is not refundable.
* Amount in Words: two thousand one hundred fifty Rupees Only
Patient / Relative Sign
For Radheshyam Ashirwad Hospital
(Authorized Signatory)