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CHRISTIAN MEDICAL COLLEGE

VELLORE - 632 004,TAMIL NADU,INDIA.

Name : SUJATHA K Bill No : A004171628


Hosp No : AA58486 Unit : HEPA Bill Dated : 21/06/2023 02:55 PM

GE
CERULOPLASMIN 375.00 CT ABDOMEN / PELVIS 10205.00
IMMUNOGLOBULIN G(IGG) 615.00 ANA 960.00
LIPID PROFILE - FASTING 1000.00 HBA1 C (GLYCOSYLATED Hb)

L E 600.00

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L C
C A
DI 062
16 029

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23

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CH
Receipt No : WEBAPU825244 Total : Rs. 13755.00
Concession given : Rs. 2662.50
By Net banking : Rs. 11092.50
By Net banking : Received Rs.11092.50/- (Rupees Eleven Thousands Ninety Two and Fifty Paisa Only)

NET BANKING SERVICES


Printed On : 21/06/2023 02:55 PM PLEASE KEEP THIS SAFE
NOTE: Electronically generated details do not require any signature.
CHRISTIAN MEDICAL COLLEGE
VELLORE - 632 004,TAMIL NADU,INDIA.

LABORATORY SAMPLE COLLECTION : INSTRUCTION FOR PATIENTS

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1. Ranipet Campus - F Block, F001,Ground floor

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2. Mon - Fri : 7am - 7pm; Sat:7am - 4pm

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L C
A
DIC 062
16029

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CHRISTIAN MEDICAL COLLEGE
VELLORE - 632 004,TAMIL NADU,INDIA.

NAME : SUJATHA K AGE : 47 SEX : F HOSP NO : AA58486


Unit : HEPA Receipt No : WEBAPU825244 Date : 21/06/2023 02:55 PM
E
Rate : C/4
G
SNO NAME OF TEST TRANSID
L
COMMENTS E
O L
1
2
IMMUNOGLOBULIN G(IGG)
CERULOPLASMIN
230621054725
230621054724
L C
A
DIC
3 LIPID PROFILE - FASTING - Overnight Fasting 230621054726
4 HBA1 C (GLYCOSYLATED Hb) 230621054727
16 029
062
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23

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R
CH
Location : - Ranipet Campus - F Block, F001,Ground floor
Timing: - Mon - Fri : 7am - 7pm; Sat:7am - 4pm

Printed On : 21/06/2023 02:55 PM


CHRISTIAN MEDICAL COLLEGE
VELLORE - 632 004,TAMIL NADU,INDIA.

NAME : SUJATHA K AGE : 47 SEX : F


G E
HOSP NO : AA58486
Unit : HEPA Receipt No : WEBAPU825244 Date : 21/06/2023 02:55 PM
L E
Rate : C/4

230621054722 ANA
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L C
Requested by : DR.AKILESH S
MICROBIOLOGY
IC A
602
9
Entry-gate No.3

E D230
6 2 1

N M
T IA
R IS
C H

Printed On : 21/06/2023 02:55 PM


CHRISTIAN MEDICAL COLLEGE
VELLORE - 632 004,TAMIL NADU,INDIA.

NAME : SUJATHA K AGE : 47 SEX : F


G E
HOSP NO : AA58486
Unit : HEPA Receipt No : WEBAPU825244 Date : 21/06/2023 02:55 PM
L E
Rate : C

230621054721 CT ABDOMEN / PELVIS


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Clinical Data:case of cld portal vein thrombosis
L C
Is there history of previous contrast reaction?: No
Is there history of asthma?: No
IC A 602
9
Is there history of allergy to any drug?: No
E D 2 306
2 1

N M
Any history of allergy to food(egg/fish/prawn/nuts/brinjal)?: No
Is the patient pregnant or possibly pregnant?: No

T
Is Anaesthesia required?: No
IA
R IS
Does the patient have diabetes mellitus?: No
Select the appropriate scan protocol: CT Abdomen

C H GO TO G11A - OPD GROUND FLOOR FOR CT / MRI / USG APPOINTMENTS

Requested by : DR.AKILESH S
RADIOLOGY
Entry - gate No.1

Printed On : 21/06/2023 02:55 PM

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