KALYAN SETU
Near Ambedkar Chowk, Barhalganj, Gorakhpur (U.P)
Medicine Billing Receipt
Date: 15-11-2023
Receipt Number: 210
Patient/Visitor Name: Mrs.Champa Devi
Address: Gorakhpur , Uttar Pradesh
Mobile:
Payment Details:
Amount Received: 390.00/-
Payment Method: Cash
Amount in Words: Three Hundred Ninety 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: _______________