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Thanking you
Yours Truly
For Dr Lal PathLabs Ltd.
(Authorised Signatory.)
PAN NO – AAACD3377J
TAN NO – DELD03576G
Note :
1. This is a computer generated bill and does not require signature/stamp.
2. Please do not make payment in cash ,we shall not be responsible for loss in cash handling.
3. Please use below mentioned deposit slip to deposit Cheque/DD in our HDFC Bank
4. Please fill Cheque No.,Cheque Date, Drawee Bank and Amount in below deposit Slip.
5. Dr. Lal PathLabs Ltd. is exempt from GST being a healthcare service provider.
Regd. Office:Dr. Lal PathLabs Ltd., Block E, Sector 18, Rohini, New Delhi110085 ,Phone: 911139885050 , Fax; 911130403204
Sr No Drawer Name Drawer Code Cheque No Cheque Date Drawee Bank Drwan Location Amount
1 MR. SUNNY SAHNI - HEALTHCARE DIAGN C004283062
2
3
Total
Count Of Cheques
Regd. Office:Dr. Lal PathLabs Ltd., Block E, Sector 18, Rohini, New Delhi-110085 ,Phone: 91-11-39885050 , Fax; 91-11-3040-3204
Dr. LalPathLabs Ltd. Page 2
Corporate Office: 12th Floor, Tower–B, SAS Tower, Medicity, Sector-38,
Gurgaon-122001, Phone:0124-301-6500 , Fax: 0124-423-4468
CIN No: L74899DL1995PLC065388
Bill Of Supply
Invoice Print Date.................: 3/1/2020
MR. SUNNY SAHNI - HEALTHCARE DIAGNOSTICS CC Summary Of Invoice No..: C004283062/19-20/Feb/4
PAN Number..................: BYVPS6934B
SAC No...........................: 999316
Discount Amount ...........................................: 2377.00
Revenue Share .............................................: 3780.50
TDS(@ 10 % )................................................: 379.00
Total Payable Amount ...................................: 18203.50
Regd. Office:Dr. Lal PathLabs Ltd., Block E, Sector 18, Rohini, New Delhi-110085 ,Phone: 91-11-39885050 , Fax; 91-11-3040-3204
Dr. LalPathLabs Ltd. Page 3
Corporate Office: 12th Floor, Tower–B, SAS Tower, Medicity, Sector-38,
Gurgaon-122001, Phone:0124-301-6500 , Fax: 0124-423-4468
CIN No: L74899DL1995PLC065388
Bill Of Supply
Invoice Print Date.................: 3/1/2020
MR. SUNNY SAHNI - HEALTHCARE DIAGNOSTICS CC Summary Of Invoice No..: C004283062/19-20/Feb/4
PAN Number..................: BYVPS6934B
SAC No...........................: 999316
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
2/24/2020 B024 URIC ACID, SERUM 281618047 120.00 30.00 0.00 90.00
Total For Patient : KULDEEP KAUR 120.00 30.00 0.00 90.00
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
2/24/2020 Z007 KIDNEY FUNCTION TEST/ 281618054 650.00 162.50 0.00 487.50
2/24/2020 Z021 RENAL FU BLOOD
COMPLETE 281618054 280.00 70.00 0.00 210.00
2/24/2020 Z005 COUNT;CBC
LIVER PANEL 1; LFT 281618054 650.00 162.50 0.00 487.50
Total For Patient : S.K. KARANWAL 1580.00 395.00 0.00 1185.00
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Name: MANI
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Name: SAPNA
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Name: REENA
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Regd. Office:Dr. Lal PathLabs Ltd., Block E, Sector 18, Rohini, New Delhi-110085 ,Phone: 91-11-39885050 , Fax; 91-11-3040-3204
Dr. LalPathLabs Ltd. Page 4
Corporate Office: 12th Floor, Tower–B, SAS Tower, Medicity, Sector-38,
Gurgaon-122001, Phone:0124-301-6500 , Fax: 0124-423-4468
CIN No: L74899DL1995PLC065388
Bill Of Supply
Invoice Print Date.................: 3/1/2020
MR. SUNNY SAHNI - HEALTHCARE DIAGNOSTICS CC Summary Of Invoice No..: C004283062/19-20/Feb/4
PAN Number..................: BYVPS6934B
SAC No...........................: 999316
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
2/24/2020 B024 URIC ACID, SERUM 281618052 120.00 30.00 0.00 90.00
2/24/2020 WJP04 BTLJOGGERPARKFASTING 281618041 10.00 0.00 0.00 10.00
Total For Patient : DLIP KAUR 130.00 30.00 0.00 100.00
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Name: NILANJO
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
2/24/2020 B024 URIC ACID, SERUM 281618055 120.00 30.00 0.00 90.00
Total For Patient : NILANJO 120.00 30.00 0.00 90.00
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Regd. Office:Dr. Lal PathLabs Ltd., Block E, Sector 18, Rohini, New Delhi-110085 ,Phone: 91-11-39885050 , Fax; 91-11-3040-3204
Dr. LalPathLabs Ltd. Page 5
Corporate Office: 12th Floor, Tower–B, SAS Tower, Medicity, Sector-38,
Gurgaon-122001, Phone:0124-301-6500 , Fax: 0124-423-4468
CIN No: L74899DL1995PLC065388
Bill Of Supply
Invoice Print Date.................: 3/1/2020
MR. SUNNY SAHNI - HEALTHCARE DIAGNOSTICS CC Summary Of Invoice No..: C004283062/19-20/Feb/4
PAN Number..................: BYVPS6934B
SAC No...........................: 999316
Name: RAJESH
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Name: PRAVEEN
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Name: BHAAVNA
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Name: SANTOSH
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Regd. Office:Dr. Lal PathLabs Ltd., Block E, Sector 18, Rohini, New Delhi-110085 ,Phone: 91-11-39885050 , Fax; 91-11-3040-3204
Dr. LalPathLabs Ltd. Page 6
Corporate Office: 12th Floor, Tower–B, SAS Tower, Medicity, Sector-38,
Gurgaon-122001, Phone:0124-301-6500 , Fax: 0124-423-4468
CIN No: L74899DL1995PLC065388
Bill Of Supply
Invoice Print Date.................: 3/1/2020
MR. SUNNY SAHNI - HEALTHCARE DIAGNOSTICS CC Summary Of Invoice No..: C004283062/19-20/Feb/4
PAN Number..................: BYVPS6934B
SAC No...........................: 999316
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Name: SANDEEP
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Name: AASHU
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Name: VANDNA
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Regd. Office:Dr. Lal PathLabs Ltd., Block E, Sector 18, Rohini, New Delhi-110085 ,Phone: 91-11-39885050 , Fax; 91-11-3040-3204
Dr. LalPathLabs Ltd. Page 7
Corporate Office: 12th Floor, Tower–B, SAS Tower, Medicity, Sector-38,
Gurgaon-122001, Phone:0124-301-6500 , Fax: 0124-423-4468
CIN No: L74899DL1995PLC065388
Bill Of Supply
Invoice Print Date.................: 3/1/2020
MR. SUNNY SAHNI - HEALTHCARE DIAGNOSTICS CC Summary Of Invoice No..: C004283062/19-20/Feb/4
PAN Number..................: BYVPS6934B
SAC No...........................: 999316
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
2/26/2020 Z007 KIDNEY FUNCTION TEST/ 281618072 650.00 162.50 0.00 487.50
2/26/2020 F007 RENAL FU
CARBOHYDRATE ANTIGEN 281618072 600.00 100.00 0.00 500.00
2/26/2020 Z367 125
LIVERPANELSCREEN 281618072 350.00 87.50 0.00 262.50
Total For Patient : URVASHI WALIA 1600.00 350.00 0.00 1250.00
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
2/27/2020 Z021 COMPLETE BLOOD COUNT; 281618073 280.00 0.00 280.00 0.00
CBC
Total For Patient : BHUMI CHAND 280.00 0.00 280.00 0.00
Name: SANTOSH
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Regd. Office:Dr. Lal PathLabs Ltd., Block E, Sector 18, Rohini, New Delhi-110085 ,Phone: 91-11-39885050 , Fax; 91-11-3040-3204
Dr. LalPathLabs Ltd. Page 8
Corporate Office: 12th Floor, Tower–B, SAS Tower, Medicity, Sector-38,
Gurgaon-122001, Phone:0124-301-6500 , Fax: 0124-423-4468
CIN No: L74899DL1995PLC065388
Bill Of Supply
Invoice Print Date.................: 3/1/2020
MR. SUNNY SAHNI - HEALTHCARE DIAGNOSTICS CC Summary Of Invoice No..: C004283062/19-20/Feb/4
PAN Number..................: BYVPS6934B
SAC No...........................: 999316
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Name: DEEPAK
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Name: UPSESH
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
2/28/2020 WJP07 LIPID PROFILE, SCREEN 281618077 199.00 49.00 0.00 150.00
2/28/2020 Z318 LIPID SCREEN, SERUM 281618077 0.00 0.00 0.00 0.00
Total For Patient : UPSESH 199.00 49.00 0.00 150.00
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Regd. Office:Dr. Lal PathLabs Ltd., Block E, Sector 18, Rohini, New Delhi-110085 ,Phone: 91-11-39885050 , Fax; 91-11-3040-3204
Dr. LalPathLabs Ltd. Page 9
Corporate Office: 12th Floor, Tower–B, SAS Tower, Medicity, Sector-38,
Gurgaon-122001, Phone:0124-301-6500 , Fax: 0124-423-4468
CIN No: L74899DL1995PLC065388
Bill Of Supply
Invoice Print Date.................: 3/1/2020
MR. SUNNY SAHNI - HEALTHCARE DIAGNOSTICS CC Summary Of Invoice No..: C004283062/19-20/Feb/4
PAN Number..................: BYVPS6934B
SAC No...........................: 999316
2/28/2020 Z021 COMPLETE BLOOD 281618083 0.00 0.00 0.00 0.00
2/28/2020 H009 COUNT;CBC
ESR 281618083 0.00 0.00 0.00 0.00
2/28/2020 H030 (WESTERGREN)ERYTHROC
MALARIAPARASITEBLOOD 281618083 0.00 0.00 0.00 0.00
2/28/2020 S026 WIDALSLIDEAGGLUTINAT 281618083 0.00 0.00 0.00 0.00
2/28/2020 U001 URINEEXAMINATIONROUT 281618083 0.00 0.00 0.00 0.00
Total For Patient : SABINA MAZ 580.00 127.50 0.00 452.50
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Name: ANKUSH
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Name: SAIMA
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Date Test Code Test Name Lab No. Gross Amt. Revenue Share Discount Line Amount
Regd. Office:Dr. Lal PathLabs Ltd., Block E, Sector 18, Rohini, New Delhi-110085 ,Phone: 91-11-39885050 , Fax; 91-11-3040-3204
Dr. LalPathLabs Ltd. Page 10
Corporate Office: 12th Floor, Tower–B, SAS Tower, Medicity, Sector-38,
Gurgaon-122001, Phone:0124-301-6500 , Fax: 0124-423-4468
CIN No: L74899DL1995PLC065388
Bill Of Supply
Invoice Print Date.................: 3/1/2020
MR. SUNNY SAHNI - HEALTHCARE DIAGNOSTICS CC Summary Of Invoice No..: C004283062/19-20/Feb/4
PAN Number..................: BYVPS6934B
SAC No...........................: 999316
2/28/2020 WJP03 BTLJOGGERPARKPOSTPRA 281618086 10.00 0.00 0.00 10.00
Total For Patient : KAILSAHI NDIAL
DEVI 20.00 0.00 0.00 20.00
Regd. Office:Dr. Lal PathLabs Ltd., Block E, Sector 18, Rohini, New Delhi-110085 ,Phone: 91-11-39885050 , Fax; 91-11-3040-3204