KALYAN SETU
Near Ambedkar Chowk, Barhalganj, Gorakhpur (U.P)
Medicine Billing Receipt
Date: 05-11-2023
Receipt Number: 184
Patient/Visitor Name: Mrs.Rajwanti
Address: Gorakhpur , Uttar Pradesh
Mobile:
Payment Details:
Amount Received: 500.00/-
Payment Method: Cash
Amount in Words: Five Hundred Only
For: Medicine
Thank you for your payment. We appreciate your trust in Kalyan Setu.
If you have any inquiries regarding this receipt or your payment,
please contact us at 05521-359551.
Authorized Signature: _______________