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Director ^of Medical Education
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To
The Managing Directori M/,s:Apollo Hospitals, Apollo Health City Carnpus, Jubilee Hills,
Hyderabad - 500096
Phone:040-60601oeelizaOlll7 E.rnail- apollohealthcity@apollohospitals.com
All the Heads of DepaftmentsT Govt of T5, Hyd.
Th.e Pay and Accounts Officer,. Hyd.
All the District Treasury Officers in the State
Copy to the stock file.
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THOSPITALS
RTIFICATE
CEBTIFtCATE-B
Certificate granted to Mrs . f lt1r. f Miss. MoHD IDRIs , Wife / son / daughter of
l, Dr. _-
here by certify
(a) That the patient was admitted
to hospital on my advise
(b) That the patient has been under
treatment at Apollo Health city,Jubilee Hills,
Hyderabad and that the
under mentioned medicines prescribed by me in
this connection were essential for the recovery/prevention
of serious deterioration in the condition
of the patient. The medicines are not stocked
in the
Apollo Health city, Jubilee Hills,Hyderabad
for supply to private patients and don not
include
proprietary preparations for which
cheaper substances of equar therapeutic
value are available not.
preparations which are prirnarily foods,
toilets or disinfectants
S. No Bill Date Billl Receipt No Service Provided at Amount incurred
(d)Thatthatpatientis/wassufferingfrom@LMUcosA.
MUCOSA
Contd.2
Regd' Office : Apollo Hospitals Enterprise Limited, No. '19, Bishop Garden, Raja Annamalaipuram,
Chennai - 600 o2g, Teli +9144-2g293333, Fax: +91-44-2g290956
Corporate tdentity Number (CtN) : LBS11OTN1979PLCOO803S
"KEEP THE REPoRTS CAREFULLyAND BRING THEM ALoNG oururo voun rExr vrsrr ro oun xospral.l
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Date: 1,2/01,/2}lg
I uuuSPfiiii: : ilGabad.eo'
Regd' offlce : Apo'o Hospitars Enterprise Limited,
No. 19, Bistop Raja Annam"lg,p*31_cl:.nnai - 600
-carden,
corporate ldentltv Number (clN) : L85110TN1szspt_coogoii
---' Ter:+g,144_29293333, Fax +91.44-28290956
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Organizatbn Acq€dit€d
by Joint Commiseion lntematonal
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This is to certify that Mrs. / Mr. / Miss . MOHD IDRIS , Wife / son I daughter of
Mr. / Mrs. / Miss. MOHD KURSHEED ALI UHID / lP No. APJLAO023Z43G7 llp}B!.gts
Was presented with complaints of. ulcer in left cheek region from past six months.
and admitted to Apollo Hospitals under emergency condition on. LO/O,/ZO7B at 11:56 AM
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trl(EED TI{F PFPORTS CAREFULLY AND BRING THEII ALONG DURING YOUR NEXT VISIT TO OUR HOSPITAL"
Apollo Health City Complex, Jubilee Hills, Hyderabad - 500 095; Telangana
Phone : +91-40-2343 1721,2343 1727,2343 1728, Fax : +9L-40-2354 5588
Email : petct@apolloho_spitals.com
www. a po I oh
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(ClN : U85110TN2004PTC052796)
ity. co m/Pet_Sca n/l nd ex. ht m Apollo Gleneagles
PET-CT Centre
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GSTIN : 36AAECA83 L7RL74 HYDERABAD
GSTIN : 36AAECA831 7R124 OP Cash Bill - Bill of Supply Reference No :
Name : Mr. MOHD IDRIS Age : 39Yr 3Mth 3Days UHID: APJ1.0002324367
Sex : Male
Father Name : MOHD KURSHEED ALI
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Bill No : PET-OCS-22865
Doctor's Name DT. PRAS HANT U PADHYAY-OP
Date :.5-Sep-18 Time: 14:30:38
Speciality RADIATION ONCOLOGY
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Denotes Gancelled Seryices Ourno@
Denotes Quick Registration
Mr. D HARI BABU t
Cashier
Page 1 of 1
Name- : Mr. MOHD IDRIS Age : 39Yr 3Mth 2Days UHID: APJ 1 .0002324367
Sex : Male
Father Name : MOHD KURSHEED ALI
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Bill No : JBH-OCS-1835905
Doctor's Name DR. VIJAY ANAND REDDY P DR PRASHANT
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Date : 4-Sep-18 Time : 11 :04:30
Speciality HRflPA+YdX Bft t6I6U YFA
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Service Amount : "'Y.tl UUpefintenrtanr 850.00
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Gashier
PAN NO: AAACASI'I':'N * TAN NO :HYDAO231 88 * ROHINI ID :89OOO8O328I,,88
Page 1 oJ 1
Regd. Office : Apollo Hospitals Enterprise Limited, No. 19, Bishop Garden, Raja Annamalaipuram, Chennai - 600 028, Teli +91-44-2A293333, Fax: +91-44-28290956
Corporate ldentity Number (ClN) : 18511OTN1979P1C008035
"KEEP THE REPORTS CAREFULLYAND BRING THEM ALONG DURING YOUR NEXT VISIT TO OUR HOSPITAL"
$f Apollo Health City campus, Jubilee Hills, Hyderabad - 500 096.
m 040-6060 1066
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Dept.of HEAD & NECK ONCOLOGY
PatientDetails
UHID APJ 1 .0002324367 Name Mr. MOHD IDRIS
Discharge
Ward/Bed No First Floor , Male General Ward Prilnary DR. ARSHEED H/TKEEM
(CAN),Bed no:MGW-22 Consultant HEAD & NECK ONCOLOGY
Principal Diagnosis
Diagnosis
Surgery / Procedure
-
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rullrHtcKNESS coMPoslrE RESECTIoN lto-sep-2018
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Details
Diagnosis . CARCINOMA LEFT BUCCAL MUCOSA.
Chief complaint(s) Patient complaints of ulcer in left cheek region frorn past six irroritlts
.KEEP THE REPORTS CAREFULLYAND BRING THEM ALONG DURING YOUR NEXT VISIT TO OUR HOSPITAL"
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$t Apollo Health City campus, Jubilee Hills, Hyderabad - 500 096.
m 040-6060 1066
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Organization Accredited
by Joint Commission lntemational
InoSPITALS
Present illness history Complaints of ulcer in left buccal mucosa from past 6 months. Which has not
been healing and growing gradually. lt is associated with mild pain. No other
symptoms.
PasUPerconal/FamilY history patient is a tobacco chewer for past 10 years and occasional alcoholic.
.
PHYSICAL EXAMINATION .
ir*utment Summary
Discussion PET-CT 4.3 x2.1 cms mass in left buccal mucosa.
Multiple subcentimeter left level lb nodes noted
Biopsy moderately differential squamous cell carcinoma.
Discharge Medication
. TAB. AUGMENTIN 625 MG 1 TAB PER ORAL TWICE DAILY AFTER FOOD FROM 14I}I2O18 TO 19/9/2018
(ANTTBTOTIC)
- TAB. pAN 40 MG 1 TAB pER oRAL oNcE DAtLy 1/2 HR BEFoRE BREAKFAST FRotvl 14lgl2c18To
1stst2o18 (ANTACID)
. TAB. VOVERAN 50 MG 1 TAB PER ORAL TWICE DAILY AFTER FOOD FROM 141912
Discharge Examination
Vitals stable Yes Surgical wound Yes
clean
Ambulatory Yes
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+91-44-28293333, Fax: +91'44'28290956
Regd. office : Apolo Hospitals Enterprise Limited, No. 't9, Bishop Gardec{de_fulrpm-alaipuram, Chennai - 600 028, Iel:
CorPorate ldentity Number (Cl
"KEEP THE REPORTS CAREFULLY AND BRING THEM ALONG DURING YOUR NEXT VISIT TO OUR HOSPITAL"
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r 040-6060 1066
ffi apollohealthcity@apollohospitals.com
ffiapollohealthcity ffiapollohealthhyd t{@apollohealthcityhyd
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Organization Accredited
by Joint Commission lntemational
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InosPtrALs
:DAMA/DOR/LAMA
None
Spe-cial Instructions
Diet SOFT DIET.
Physical activity DILUTE chlorhexidine mouthwash 4th hourly to keep oral cavity clean.
**********************************************tt*!t?b***rt*******!htk************************
Emergency Care
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Typed by 1066422 Corporate ldentity N Blldt 9851 1 OTN 1 979P1C008035
"KEEP THE REPORTS CAREFULLY AND BRING THEM ALONG DURING YOUR NEXT VISIT TO OUR HOSPITAL"
$f Apollo Health City campus, Jubibe Hills, Hyderabad - 500 096.
m +91-1860 2sB 1066
ffi apollohealthcity@apollohospitals.com ffi www.apollohealthcity.com
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DEPOSIT RECEIPT
vtt[IqlSth P'
--.o*-ld-
Dr.
Dy:-^ii,j[i:t1',1ffi
Hyde
Jubilee'Hills'
Regd. Offtce : Apollo Hospitals Enterprise Limited, No. 19, Bishop Garden, Raja Annamalaipuram, Chennai - 600 028, Tel: +91-4-28293333, Fax: +91-44-28290956
Corporate ldentity Number (ClN) : 185110TN1979PLC008035
"KEEP THE REPORTS CAREFULLY AND BRING THEM ALONG DURING YOUR NEXT VISIT TO OUR HOSPITAL"
$f Apollo Health City campus, Jubilee Hills, Hyderabad - 500 096.
m 040-6060 1066
ffi apollohealthcity@apollohospitals.com ffi[ www.apollohealthcity.com
ffi apollohealthcity ffiapollohealthhyd b@ apollohealthcityhyd
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Organization Accredited
by Joint Commission lnternational
A6buo
lnosPrrALs
DEPOSIT RECEIPT
NOTE: All Payments lncluding Dr.Fees Should be Paid at Billing Counter Only
;ilxrw.gl*I
Htrit' HYO"
Jubite"
Regd. Office : Apollo Hospitals Enterprise Limited, No. 19, Bishop Garden, Raja Annamalaipuram, Chennai - 600 028, Teli +9144-28293333, Fax: +91-44-28290956
Corporate ldentity Number (ClN) : 1851 1OTN1979P1C008035
"KEEP THE REPORTS CAREFULLYAND BRING THEM ALONG DURING YOUR NEXT VISIT TO OUR HOSPITAL"
$f Apollo Health city campus, Jubilee Hills, Hyderabad - 500 096.
m 040-6060 1066
ffi apollohealthcity@apollohospitals.com ffi www.apollohealthcity.com
ffi apollohealthcity ffiapollohealthhyd rr@ apoiloheatthcityhyd ffi
AObllo IHOSPITALS
GSTIN : 36AAACA5443N3ZH
ln Patient Bill - Bill of Su Reference No :
Name : Mr. MOHD IDRIS Age: 39Yr 3Mth 12Days
Sex: Male UHID : APJ1.0002324367
l lllllll llllll llll llll llll llllll lllil ilril ilililililtil ililililililil llilililililt
Fathli Name : MOHD KURSHEED ALI
SL. No Service
Amount(lNR)
1 Assistant Doctor Fee(9993)
1,700.00
2 Assistant Surgeon Fee(9993)
10,100.00
3 Consultation(9993)
1,000.00
4 Drug Administration Charges(ggg3)
2,200.00
5 lnvestigations(ggg3)
10,310.00
6 Medical Administration(99g3)
1,250.00
7 Medical Services(9993)
6,000.00
B Nutritional and Functionar Assessment charges(9gg3) 1,400.00
I OT Charges(9993)
68,040.00
10 OT Consumabtes(9993)
11 OT Pharmacy(9993) 11 ,723.93
5,651.58
12 Professional Charges(9993)
56,000.00
13 Room Rent(9993)
10,600.00
14 Ward consumables(OT stores)(g993)
2,120.00
15 Ward Pharmacy(9993)
11 ,964.19
Servi eAm
Total Discount
10,060.00
Net
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$f Apollo Health City campus, Jubilee Hills, Hyderabad - 500 096.
m 040-6060 1066
ffi apollohealthcity@apollohospitals.com ffi www.apollohealthcity.com
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Organization Accredited
by Joint Commission lntemational
A6bllo
lnosPrrAls
tlame : Mr. MOHD IDRIS lP No : 1P281375 Bill No : JBH-ICS-120A27
il.No Service Service Name Start Date End Date Dr Name otv Amount(lNR)
Code ( Order No.
Ass istant,?ff::l Fee(eee3) 1,700.00
1,700.00
1 8410 ASSISTANT DOCTOR FEE 1,700.00
Consultation(9993) 1,000.00
Consultation 1,000.00
1 38071 ICU Visit Charges DR. SRIDHAR Y 1,000.00
(cRrTtcAL CARE)
Drug Administration Charges(9993) 2,20A.00
Nursing 2,200.00
1 5740 Drug administration Charges 2,200.00
lnvestigations(9993) 10,310.00
Haematology 900.00
1 46 HEMOGLOBIN (AUTOMATION) 440.00
(s562572)
2 99 TOTAL LEUCOCYTE COUNT (TLC) 360.00
(5s62s72)
Histopathology
8,400.00
3 6265 FRoZEN SECTIoN WITH PARAFFIN 3,500.00
FOLLOW UP
(s561758)
4 6546 TVVO LARGE SPECIMENS
4,900.00
(556208s)
X Ray
1,110.00
5 1224 BED SIDE X-RAY CHESTAP DR. ICU DOCTOR 1 ,110.00
(20es862) (cRrTrcAL CARE)
Medical Adm i n istration(9993) 1,250.00
Medical Records
1,250.00
1 2114 Medical Records 1,250.00
Regd. Office : Apollo Hospitals Enterprise Limited, No. 'lg, Bishop Garden, Raja Annamalaipuram, Chennai - 600 028, Teli +9144-28293333, Fax: +9'144-28290956
: 1851 1 OTN 1 979P1C008035
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ffi apollohealthcity@apollohospitals.com ffi[ www.apollohealthcity.com
ffiapollohealthcity ffiapollohealthhyd hfi@apollohealthcityhyd
Organization Accredited
by Joint Commission lntemational
ASbllo
luosPlrALs
tlame : Mr. MOHD IDRIS lP No : IP281375 Bill No : JBH-ICS-120027
OT Charges(9993) 68,040.00
1 O-Sep -2018
General Surgery 68,040.00
1- -2103 Operation Theatre Charges 10-Sep-2018 10-Sep-2018 1 68,040.00
(12877e8) 14:50.00 19:30.00
OT Consumables(9993) 11,723.83
Opefation Theatre 11,723.83
1 ZIIqIOO ACCUTOUCH POWDER FREE GLOVE 5 450.00
000036e 6.0-SENT!NEL
. 5oo (PM|S01563751)
2774700 ACCUTOUCH POWDER FREE GLOVE 5 450.00
000036e 6.5-SENT|NEL
soo (PM|S01s63751 )
2774700 ACCUTOUCH POWDER FREE GLOVE 8 720.00
000036e 7.o-SENTINEL
5oo (PM|So1563751)
4 2774700 ACCUTOUCH POWDER FREE GLOVE 5 450.00
000036e 7.s-SENTINEL
soo (PM|So1563751)
5 2774700 DERMARK SURGTCAL SKIN MARKER 1 248.00
0000322 (ROMSONS)-(HSN:901 89099)
3oo (PM|S01s63751)
6 2774700 E.C.G ELECTRODES AMBU . 30.00
oooo32e (HSN.90189099)
8oo (PM|S015637s1)
V 10117OO ETHILON 3-O SN 3328 SUTURE 6 966.00
000032e INDIA(HSN:901 83990)
4oo (PM|So1563751 )
8 2774loo EXAMTNATTON GLOVES - 10 60.00
000024e GLOVEON(HSN :4015901 0)
600 (PM|S01563751 )
9 2774700 FACE MASK BIOSAFE, 10 75.00
000022e MEDICUB(HSN:901 91 090)
600 (PMrS01563751)
10 2774700 GLOVES DR.CHOICE(HSN :40151 1 00) 4s.00
oooo733 (PM|So1563751)
30
11 2774700 LAP SPONGE 30.30 PLY STERILE I 12 560.04
0000322 DOCTOR CHOTCE-(HSN:30050000)
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12 10117OO MERSILK 3.0 NW 5O2B ETHICON. 1 176.00
0000506 (HSN:901 99099)
30 (PMIS01563751)
13 10117OO MERSUTURE 2-O NW 4245 ETHICON. 2 288.00
0000s66 (HSN:901S9019)
40 (PM|S01563751 )
14 2774700 NASAL TUBE PORTEX SIZE 7.5 1 1,000.00
oooo571 (PMtso1563751)
90
15 2774700 OXYGEN RECOVERY KIT 60% - 1 375.00
0000430 vtNJo(HSN:901 91 090)
30 (PMIS01563751)
16 1.09e+o RELIANT DISPOSABLE PENCIL W HOLSTER 1 393.1 2
17 VL261O COVIDIEN
(PMrS01563751)
17 1oB21oo SCRATCH PAD-. AMS 1 269.89
0000 1 49 (PMrS01 563751)
700
Regd. Office : Apollo Hospitals Enterprise Limited, No. 19, Bishop Garden, Raja Annamalaipuram, Chennai - 600 028, Tel: +9'144-28293333, Fax:
+9144-28290956
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"KEEP THE REPORTS CAREFULLY AND BRING THEM ALONG DURING YOUR NEXT VISIT TO OUR HOSPITAL"
- 500 096'
$f Apollo Health City campus, Jubilee Hills, Hyderabad
m 040-6060 1066
IP No : 1P281375
Organization Accredited
by Joint Commission lntemational
Bill No :
ffi llo
PITALS
JBH-ICS- 120027
18 2774700 STOP COCK 3-WAY (100CM) - BD 1 211 .00
oooo l 2g-) (PMtsol 563751 )
900
19
- ZIIIIOO STOP COCK 3-WAY l OCM
1 175.00
0000266 POLYMED(HSN:901 83990)
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20 2774loo SURGEON CAP (BIOSAFE , MEDICUB) 10 75.00
0000234 (HSN'.621030e0)
300 (PMrS01563751)
21 zr7 4loo SYRINGE WITH NEEDLE lOML DISPO 93.30
0000233 (NTPRO)
600 (PMrS01563751)
22 277 4700 SYRINGES zCC B.D(HSN:901 831 00) 47.50
oooo4l e (PMtso1563751 )
40
23 2774700 SYRINGES sCC B.D(HSN:90183100) 60.00
oooo423 (PMISo1563751)
20
24 00 TEGADERM 1624 3M(HSN :30059060)
277 47
66.00
aooa427 (PMISo1 563751 )
70
25 2774700 THERMOVENT HEPAFILTERS - PORTEX- 1 475.00
0000322 (HSN:90183990)
3oo (PMtS015637s1)
26 2774700 vAsoFrx I.V.CANNULAE 2oc 1 193'00
0000428 B.BRAUN(HSN:901 83900)
60 (PMISo1563751)
27 tol2loo vrcRyL 2rs 24TBSUTURES |NDIA 2 620'98
oooo167 (PMtsol563751)
700
2a 1o117oovrcRyL 2-o NW 2404 ETHrcoN. 1 635'00
0000s66 (HSN:90189099)
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29 1o117oo VtcRYL 2-O NW 2404 ETHICON - 2 1'270.00
0000s66 (HSN:90189099)
50 (PM|So1s637s1)
30 1011700 V|CRYL2-O TSP 2317 SUTURE 2 1'246.00
0000346 INDIA(HSN:901 83990)
ooo (PMISo1 563751)
OT Pharmacy(9993) 5'651'58
1o-seP-2018
4,980'58
'1 INJ(HSN:30049087) 10-Sep-2018
3118s ADVENT 1.2GM 'l 131'99
(PM1N0115145878) 20:04-20
2 18330 AIR WAY 2G (POLYMEDXHSN:9018) 10-Sep-2018 1 110.00
(PM1N0115145878) 20:04.20
3 64110 ATRAPURE 25MG/2.5M1INJ(HSN:30049099) 10-Sep-20't8 2 272.48
(PM1N0115145878) 20:04.20
4 75777 AUTOFUSTON SETWTH 10-Sep-2018 1 252.00
Y-SITE(HSN:90219090) 20:04.20
(PMlN0115'145878)
5 5OOML (P) B.BXHSN:30049099) 10-Sep-2018
1471s D.N.S 1 67 -17
(PM1N0115145878) 20:04.20
6 3036 DC ALCOHOL SWAB OoS #(HSN:90189099)
1 l GSep-2018 I 16.00
(PM1N0115145878) 20:O4.20
7 s178s DERIPHYLLIN 2ML INJ(HSN:30049094) 10-Sep-2018 1 s.70
(PM1N0115145878) 20:04.20
8 48417 DEMSONE 2 ML INJ(HSN:30043913) 10-Sep-2018 1 5.98
028, rel +91-44-28293333, Fax: +9144-28290956
Regd. ofltB&4lNprtff,65fiffid Enterprise Limited, No. 19, Bishop Garde0ffiF2onamalaipuram, chennai - 600
of 10
-KEEP THE REPORTS CANETITLI-YITIO ERING THEM ALONG DURING YOUR NEXT VISIT TO OUR HOSPITAL"
$f Apollo Health city campus, Jubilee Hills, Hyderabad - s00 096.
m 040-6060 1066
ffi apollohealthcity@apollohospitals.com ffi www.apollohealthcity.com
ffi apollohealthcity ffiapollohealthhyd rrl@ apoiloheatthcityhyd
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THOSPITALS
tlame : Mr. MOHD IDRIS lP No :1P281375 Bill No : JBH-ICS- 120027
9 53984 DRESSING PACK KIT (STARN4EDD 10-Sep-2018 -1 210.00
#(HSN:3005) 20:04.20
(PMtNo1 15145878)
1O- 43265 FOLEYS CATHETER 2 WAY 14 (A)
RUSH(HSN:9018)
10-Sep-2018 1 t08.00
20:04.20
(PMtN0 115145878)
11 25472 GLANPAN 40MG tNJ(HSN:30049039) 10-Sep-2018
4s.00
(PMrN01 15145878) 20:04.20
12 71705 H - coRT - 100 MG INJ(HSN:30043200) 10-Sep-2018
37.05
(PMtN0 115145878) 20:04.20
13 49943 JUSTIN 75MG/3ML INJ(HSN:300A9066) 10-Sep-2018 4.40
(PMtN0115145878) 20:04.20
14 33s00 LAStx 2oMG 2ML |NJ(HSN:30049079) 10-Sep-2018 3.36
(PMrN0 11514s878) 20:04.20
15 253s1 LOX 4o/o TOPICAL 3OML 10-Sep-2018 32.90
SOL(HSN:30039034) 20:04.20
(PMtN01 15145878)
16 5e438 MALTDENS 1ooML 1MG rV(HSN:300a9063)
(PMtN01 1514s878)
1O-Sep-2018 1 989.00
20:04.20
17 34618 METOLAR sML |NJ(HSN:30049074) 1O-Sep-2018 14.85
(PMtN011s145878) 20:04.20
18 4561s MYOSTIGMIN SML 2.5MG 10-Sep-2018 22iA
INJ(HSN:3003903a) 2A:04.20
(PMtN01 1 514sB7B)
19 4457a MYoSIGMtNE 1 ML(HSN:30039034) 1O-Sep-2018 4.40
(PMtN01 1s14s878) 20:A4.20
20 73603 ONDOKTND 2MG/ML tNJ 4 ML(HSN:300a) 10-Sep-2018 23.75
(PMtN01 1s145878) 20:04.20
21 41046 PYROLATE tNJ 10-Sep-2018
35.85
(G LYCO PYROLATE HS N : 30049034)
(
2A:04.20
(PMtN0 115145878)
22 14493 RINGER LACTATE sOOML PLASTIC (B / 10-Sep-2018 92.22
BRAUN)(HSN:30049099) 20:04.20
(PMtN0 11514s878)
23 s8885 ROMOLENE FG 16(HSN:90183990) 1O-Sep-2018
57.00
(PMtN0115145878) 20.04.20
24 47052 ROMOVAC SET 14 (ROMSON)
(HSN:90189099)
10-Sep-2018 1 671 .00
20:A4.20
(PMtN0115145878)
25 45378 SEVORANE 250 ML(HSN:20a00001)
(PMtN0115145878)
10-Sep-2018 30 890.40
20:04.20
26 27341 SOOIUM CHLORIDE O 9% sOOML ( B BRAUN 10-Sep-2018
74.28
XHSN:300a9099) 20:04.20
(PMtN0 115145878)
27 36819 SODIUM CHLORIDE lOOOML (NIRLIFE) 10-Sep-2018 95.1 6
(HSN:30045020) 20:04.20
(PMtN0115145878)
28 57777 STANDARD GOWN XL #(HSN:62101OOO)
(PMtN0 11s145878)
10-Sep-2018 1 3s0.00
20:04.20
2e 638 51
1 4c (poLyMED) 10-Sep-2018
56.00
:#J^lt?T;orrErER 20:04.20
(PMtN0 11s14s878)
30 52211 SURGICAL BLADE 10-.Sep-2018
12.00
21G(SURGEO(HSN:9018) 20:04.20
(PMtN01 1s145878)
Regd. Office : Apollo Hospitals Enterprise Limited, No. 19, Bishop Garden, RajaAnnamalaipuram, Chennai - 600 028, Tel +9'144-28293333, Fax: +9144-28290956
of 10
..KEEP
THE REPORTS CAREFULLY AND BRING THEM ALONG DURING YOUR NEXT VISIT TO OUR HOSPITAL"
ffi
$f Apollo Health City campus, Jubilee Hills, Hyderabad - 500 096.
t:.r:,:,,,,'
m 040-6060 1066.
ffi apollohealthcity@apollohospitals.com ffi www.apollohealthcity.com
ffiapollohealthcity ffiapollohealthhyd h@lapollohealthcityhyd
Abbllo
lnosPrrALs
tlame : Mr. MOHD IDRIS lP No.: 1P281375 Bill No : JBH-ICS-120027
31 64042 SURGICAL BLADES NO 15 10-Sep-2A18 4 120.00
(SWAN N-MORTON XHS N : 90 1 8) 20.04.20
(PMtN0 11514s878)
3i. .48512 URoMETER(PoLYMEDXHSN:9O18) 10-Sep-2018 1 400.00
(PMtN0115145878) 20:04.20
s3 17072 VASOCON (ADRENALINE) 10-Sep-2018 1 15.90
INJ(HSN:30033900) 20:04.20
(PMtN01 15145878)
34 45139 WATER FOR INJECTION lOML (NIRMA) 10-Sep-2018 4.64
(HSN:300a9099) 20:04.20
671.00
1 47052 ROMOVAC SET 14 (ROMSON) 11-Sep-2018 1 671 .00
(HSN:90189099) 8:54.39
(PMrN011 5147880)
Profess iona I C ha rges(ggg3) 56,000.00
Anaesthesiology
9,000.00
1 2122 Anaesthesiologist Fees Dr. SANATH 1 9,000.00
(12877e8) REDDY P
(ANAESTHESTOLO
GY)
General Surgery
49,000.00
2 2121 Surgeon Fees DR. ARSHEED 1 49,000.00
(12877e8) HAKEEM (HEAD &
NECK ONCOLOGY)
Room Rent(9993) 10,600.00
Wards Others
10,600.00
1 2127 ROOM RENT(General) 1 2,650.00
of 10
"KEEP THE REPORTS CAREFULLYAND BRING THEM ALONG DURING YOUR NEXT VISIT TO OUR HOSPITAL"
ffi
+311..*
$f Apollo Health City campus, Jubilee Hills, Hyderabad - 500 096.
m 040-6060 1066
ffi apollohealthcity@apollohospitals.com ffi www.apollohealthcity.com
ffi apollohealthcity ffiapollohealthhyd h@l apollohealthcityhyd
Organization Accredited
by Joint Commission lntemational
ASbllo
InosplrAls
tlame : Mr. MOHD IDRIS lP No :
1P281375 Bill No : JBH-ICS-120027
7 s8se3 NITRILE
GLOVES (EVER Cnreruj 10-Sep-2018 30 360.00
#(HSN '.401s1 1 00) 21:51 .52
(PMtso1 1476s916)
8_ _23661 PETHIDINE- 100MG/2ML tNJ 1O-Sep-zAft 1 112.00
(HSN:300a9099) 15:39.09
(PMrN0115144280)
9 44746 RANTAC 25MG 2ML INJ(HSN:3OOA9O33) 10-Sep-2018 3.40
(PM rS01 1476s979) 21:53.36
1O 27341 SOOIUM CHLORIDE 0.9% sOOML ( B BRAUN 10-Sep-2018 5 \ 371.30
)(HSN:30049099) 21:51 .52
(PMtso1 1 476s91 6)
11 206a4 SYRINGE 20ML (NtpRO) WO/N(HSN:9O18) 10-Sep-2018 5 175.00
(PMrS0 114765916) 21 .51 .52
12 40465 SYRINGES 1gML BD (D,SCARD,T) 10-Sep-2018 5 110.00
(HSN:90183100) 21:51 .52
(PMrS01 14765916)
13 40830 SYRINGES SOML NIPHRO(HSN:9018) 10-Sep-2018 3 450.00
(PMrS01 14765916) 21:51 .52
14 42123 SYRINGES SML B.D.(HSN:90183100) 10-Sep-2018 60.00
(PMrS01 1476591 6) 21:51 .52
15 71827 TEGADERM tV 6.S.7CM 10-Sep-2A18 1 162.00
1683(HSN:30051020) 21:51.52
(PMtS01 1 4765e1 6)
16 28s46 TROFENTYL 2ML INJ(HSN:30049099) 10-Sep-2018 92.24
(PMtN0115144280) 15:39.09
17 72117 VIGGOFLO FLOW REGULATOR(HSN:9018) 10-Sep-2018 1 425.00
(PMrS0 11476s916) 21:51.52
11-Sep -2018
2,772.64
1 2s345 364376 A-LINE TM SAMPLING KtT 11-Sep-2018 2 16s.00
3(HSN:9018) 15:41 .11
(PMrS01 14770571)
2 31188 ADVENT 1 .2cM INJ(HSN:300a9087) 11-Sep-2018 2 263.98
(PMrS01 14768010) 10:46.54
3 42066 CD SITE SUCTIONE SET(HSN:9O18) 11-Sep-2018 1 280.00
(PMrS0114767334) 7:08.12
4 26643 DC GAUZE BANDAGE 1,CMX4M 11-Sep-2018 16.00
#(HSN:30050000) 7:08.12
(PMrS01 14767334)
5 6814e DC WET WtpES##(HSN:9619) 11-Sep-2018 1 130.00
(PMrS0114772020) 21:42.49
6 22s6s INTp4FIX SAFE SET 180CM(HSN:9018) 11-Sep-2018 1 244.00
(PMrS0 114772020) 21:42.49
7 4ee43 JUSTTN 75MG/3ML tNJ(HSN:30049066) 11-Sep-zAft 8.80
(PMtS0114768010) 10:46.54
8 58se3 NITRILE GLOVES (EVER GREEN) 11-Sep-2018 20 240.A0
#(HSN:4A151100) 21:42.49
(PMtS0114772A20)
9 42451 OXYGEN MASK (ADULT) VINJOH 2028 11-Sep-2018 1 295 00
#(HSN:90192090) 15:41.11
(PMtso114770571)
10 44746 RANTAC 25MG 2ML |NJ(HSN:300a9033) 11-Sep-2018 6.80
(PMrS011476801 0) 10:46.54
11 52178 RESOURCE OPTI VANILLA 4OOGM 11-Sep-2018 1 650.00
POWDER(HSN 21069099) 1 3:1 2.41
(PMtS0114768894)
Regd. Office : Apollo Hospitals Enterprise Limited, No. 19, Bishop Garden, Raja Annamalaipuram, Chennai - 600 028, Teli +9144-28293333, Fax: +9144-28290956
of 10
"KEEP THE REPORTS CAREFULLYAND BRING THEM ALONG DURING YOUR NEXT VISIT TO OUR HOSPITAL"
$f Apollo Health City campus, Jubilee Hills, Hyderabad - 500 096.
m 040-6060 1066
ffi apollohealthcity@apollohospitals.com ffi www.apollohealthcity.com
ffiapollohealthcity ffiapollohealthhyd h@lapollohealthcityhyd
ffi
A6bl lo
Organization Accredited
by Joint Commission lntemational IHOSPITALS
rlame : Mr. ,VIOHO IDRIS lP No :
1P281375 Bill No : JBH-IC3-120027
12 16154 SODIUMCHLOR;DE0.g./@ 11-Sep-2018 35.52
(HSN:300a9099) 7:08.12
(PMtS0114767334)
13-
-16154 SODIUM CHLORIDE O.9o/o 10OML B(BRAUN) 11-Sep-2018 71.04
(HSN:30049099) 21:42.49
(PMtS0114772020)
14 s1638 sucTtoN CATHETER 14c (POLYMED) 11-Sep-2018 3 168.00
(HSN:9018) 10:50.19
(PMrS0 114768164)
15 40724 SYRINGES 2ML B.D(HSN:901S3100) 11-Sep-2018 28.50
(PMtso1 14770571) 15.41 .11
16 42125 SYRINGES SML D|SPOVAN(HSN:901 BgA22) 11-Sep-2018 13.00
(PM tso1 14772020) 21:42.49
17 63523 TEGADERM- 8526 IN(HSN:30051090) 11-Sep-2018 1 157.00
(PMtS0 114770s71) 15:41 .11
12-Sep -2018
1,566.92
1 31188 ADVENT 1 .2cM |NJ(HSN:300a9097) 12-Sep-2018 2 263 98
(PMrS0 11477 4s13) 11:32.31
2 7s777 AUTOFUSION SET W,TH 12-Sep-2018 1 2s2.00
Y-SITE(HSN :90219090) 22:13.49
(PMtso114777826)
3 6814e DC WET WPES##(HSN:9019) 12-Sep-2018 1 130.00
(PMtso1 14777826) 22:13.49
4 4ee43 JUSTTN 75MG/3ML tNJ(HSN:300a9066) 12-Sep-2A18 8.80
(PMtS0114774513) 11:32.31
5 58593 NITRILE GLOVES (EVER GREEN) 12-Sep-2018 10 120.00
#(HSN '.40151 1 00) 22:13.49
(PMrS0114777826)
6 44746 RANTAC 2sMG 2ML tNJ(HSN:300a9033) 12-Sep-2018 6.80
(PMrS01 14774s13) 11:32.31
7 s2178 RESOURCE OPT' VANTLLA 400GM 12-Sep-zAft 1 650.00
POWDER(HSN:21 069099) 8:35.34
(PMrS0 114773427)
8 39652 SODIUM CHLORIDE 9% lOOML (NIRLIFE) 12-Sep-2018 33.24
(HSN:30045020) 22:13.49
(PMtS0114777826)
9 40465 SYRINGES lOML BD (DISCARDIT) 12-Sep-2018 22.00
11:32.28
[ffit3?]:;;:31.,
1O 40465 SYRINGES l OML BD (DISCARDIT) 12-Sep-2018 44.0A
(HSN:90183100) 22:13.49
(PMtS0114777826)
11 42123 SyRtNGES sML B.D.(HSN:90183100) 12-Sep-zAfi 12.00
(PMtso114774536) 11:32.28
12 42123 SYRINGES sML B. D.(HSN:901 83100) 12-Sep-2018 24.00
(PMtS01 14777826) 22:13.49
13-Sep -2A18
1,607.21
1 31188 ADVENT 1.2GM INJ(HSN:30049087) 13-Sep-2018 1 131.99
(PMrS01 1477e375) 10:31 .19
2 18476 BENADRYL COUGH FORMULA 13-Sep-2018 90.00
150ML(HSN:30045039) 10:31 .19
(PMtso1 1477937s)
3 7s703 BIO BATH 10 S#(HSN:96190000) 13-Sep-2018 90.00
(PMtso1 14782523) 22"29.39
Regd. Office : Apollo Hospitals Enterprise Limited, No. 19, Bishop Garden, Raja Annamalaipuram, Chennai - 600 028, Tel. +g'l-44-29293333, Fax: +91-44-28290956
of 10
"KEEP THE REPORTS CAREFULLY AND BRING THEM ALONG DURING YOUR NEXT VISIT TO OUR HOSPITAL"
$f Apollo Health city campus, Jubilee Hills, Hyderabad - 500 096. h;or"rr*,,
m 040-6060 1066
ffi apollohealthcity@apollohospitals.com ffi www.apollohealthcity.com
ffi apollohealthcity ffiapoiloheatthhyd h@ apoiloheatthcityhyd ffL_
A0bllo
THOSPITALS
!ruqe : rvi MoHD tDRrs lP No : lP2813Ts
4 31 803
CLOHEX - MOUTH WASH Bill No : JBH-tcs- 120027
13-Sep-2018
1SOML(HSN:30049087) 102.00
1A31 .24
(PMtS0 114779373)
5 49943 JUSTIN 75MG/3ML
INJ(HSN:30049066) 13-Sep-2019
(PMtso 114779375)
10:31 .19
I 4.40
6 4ee43 JUSTTN 75MG/3ML rNJ(HSN:30049066)
13-Sep-2018
I 4.40
10:31 .19
T ioroo ffiH:JJ ':':,Y#JcLovES 1oo 13-Sep-2018
'S-N832(GLOVEONXHSN :401
590 1 O)
10 60.00
22:29.39
(PMrS0 114782523)
B 44746 RANTAC 25MG 2MLINJ(HSN:30049033)
13-Sep-2018
(PMtso 114779375) 6.80
10:31 .19
9 52178 RESOURCE OPTI VANILLA
4OOGM 13-Sep-2018
PO\A/DE R(HS N :2 1 069099)
9:28.17
1 650.00
(PMrS0114779124)
1O 39652 SODIUM CHLORIDE 9% lOOML (NIRLIFE) 13-Sep-2018
(HSN:300a5020) 16.62
10:31 .24
(PMtS0 114779373)
11 4046s SvRINGES 1oML BD (DtscARDtr) 13-Sep-2018
(HSN:90183100) 44.00
10:31 .24
(PMtS0 114779373)
12 7e0e SYRTNGES soML(Top PLASTTCXHSN:9018)
13-Sep-201A
(PMtso 114782s23) 1 130.00
22:29.39
13 7909 SYRINGES sOML(TOP PLASTICXHSN:9o18)
13-Sep-201A
(PMtS0 114782613) 1 130. OO
22:52.03
14 42123 SyRtNGES sML B.D.(HSN:90183100) 13-Sep-2018
(PMtS0 11477s373) 24.00
10:31 .24
15 60628 TEGADERM 7X8.5CM 1633(HSN:30051020) 13-Sep-2018
(PMtS0114782613) 1 123. OO
22:52.03
14-Sep -2019
Regd' office : Apollo Hospitals Enterprise Lim',"d' Garden,.Raja^Annamataipuram, chennai - 600 028, Tet: +9144-28293333,
P.-]9: ?l",nop Fax: +9144-28290956
of 10
.KEEPTHEREPoRTscAREFULLYANDBRlNGTHEMALoNGo
$f Apollo Health City campus, Jubilee Hills, Hyderabad - 500 096.
m 040-6060 1066
ffi apollohealthcity@apollohospitals.com ffi www.apollohealthcity.com
ffiapollohealthcity ffiapollohealthhyd h@lapollohealthcityhyd
A
Regd. l{0. AP lvi C/FM RiSBS 3B
Apoilo Hospitais, Jubilee Hills, Hyderabad-96.
Regd. Office : Apollo Hospitals Enterprise Limited, No. 19, Bishop Garden, RajaAnnamalaipuram, Chennai - 600 028, Tel: +91-44-28293333, Fax: +91-44-28290956
of 10
"KEEP THE REPORTS CAREFULLY AND BRING THEM ALONG DUR]NG YOUR NEXT VISIT TO OUR HOSPITAL'