Invoice No:
#GI025
Invoice Date:
DEC 20, 2024
Billed By:
GST Invois Hospital
52-59, HSR Point, 3rd Floor Orion Mall, Bengaluru - 560055
Email:gstinvois@mail.com
Phone:+91 23456-78921
GSTIN: 22AAAA00051Z25
Billed To:
Kappa Gems LTD
C-306 Atlanta Mall, Near Laxmi Enclave, Bengaluru - 560063
Email:kappagems@mail.com
Phone:+91 98765-43210
GSTIN:22BCDA00051Z63
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| Patient ID | Age | Admit Date | Insurance |
|---|---|---|---|
| 45123 | 35 Years | DEC 10, 2024 | Yes |
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| Item | Qty | Price ($) | CGST ($) | SGST ($) | CESS ($) | Total ($) |
|---|---|---|---|---|---|---|
| All Blood Test | 1 | 1600.00 | 96.00 @6% |
96.00 @6% |
0.00 | 1600.00 |
| Hospital Usage Bill | 1 | 2500.00 | 300.00 @12% |
300.00 @12% |
0.00 | 2500.00 |
| Surgeon Fee | 1 | 800.00 | 40.00 @5% |
40.00 @5% |
0.00 | 800.00 |
| Medical Medicine Bill | 1 | 1500.00 | 180.00 @12% |
180.00 @12% |
0.00 | 1500.00 |
| Personal Health Kit | 2 | 150.00 | 12.00 @5% |
12.00 @5% |
0.00 | 300.00 |
Hospital Rules:
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| Sub Total | $6700.00 |
| CGST | $628.00 |
| SGST | $628.00 |
| CESS | $0.00 |
| Grand Total: | $7956.00 |
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For any enquiries, email us on gstinvois@mail.com or call us on +91 23456-78921
Note:This is computer generated receipt and does not require physical signature