You are on page 1of 2

LIST OF MEDICAL BILLS

The following are the medicines used to the patient sri S.Ayaz Ahamed for treatement in hospital from 14-09-2011 to 20-9-2011. S.No.
1

Prescription
2

Qty
3

No.of days
4

Rate
5

Amount
6

X-Ray ( Left Fore arm & shoulder before opeation and Left Fore arm after opeation)

200.00

600.00

2 3 4 5 6

Nudiclo - injection T.T - injection C-Furo - injection Blood test O2 - injection

6 1 2 1 2 ./day ./day 1 7 1 7

20.00 20.00 175.00 1200.00 100.00

120.00 20.00 2450.00 1200.00 1400.00

5790.00

LIST OF MEDICAL BILLS


The following are the medicines used to the patient sri S.Ayaz Ahamed for healing surgical wound from 23-09-2011 to 06-11-2011. S.No.
1

Prescription
2

Qty
3

No.of days
4

Rate
5

Amount
6

1 2 3 4 5

X-Ray C-Furo - injection Zaltokin 80 tab Linezolid tab Altoxil tab

2 2 2 2 2 ./day ./day ./day ./day 45 45 45 45

200.00 175.00 4.50 30.00 5.50

400.00 15750.00 405.00 2700.00 495.00

19750.00

You might also like