Medicine Billing Receipt
Date: 19-11-2023
Receipt Number: 219
Patient/Visitor Name: Mrs.Rohini Prajapati
Address: Gorakhpur , Uttar Pradesh
Mobile:
Payment Details:
Amount Received: 280.00/-
Payment Method: Cash
Amount in Words: Two Hundred Eighty 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: _______________