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INVOICE #345766
D 103, RedStar Hospital,
Opp. Town Hall,
Sardar Patel Road,
Ahmedabad - 380015
To,
Jayesh Patel
207, Prem Sagar Appt.,
Near Income Tax Office,
Ashram Road,
Ahmedabad - 380057
Invoice Date : 14th July 2017
Due Date : 24th July 2017
| # | Item Name | Quantity | Unit Cost | Charges | Discount | Total |
|---|---|---|---|---|---|---|
| 1 | Visiting Charges | - | - | $100 | - | $100 |
| 2 | Medicines | 10 | $15 | $150 | 5 | $1000 |
| 3 | X-ray Reports | 4 | $600 | $70 | 5 | $1200 |
| 4 | MRI | 2 | $245 | $125 | 10 | $480 |
| 5 | Other Charges | - | - | - | - | $300 |
Sub - Total amount: $2600
Discount : $100
vat (10%) : $160
